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Star Psychiatric Services PC

NPI 1700138492ActiveOrganization· Psychiatry & Neurology, Psychiatry· South Bend, IN

Psychiatry & Neurology, Psychiatry in South Bend, Indiana, registered in NPPES in October 2012. The authorized official on file is Khutb Uddin, M.D.PHD., Owner. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1700138492
StatusActive
Entity typeOrganization
NPI issuedOct 5, 2012
Last updated in NPPESOct 26, 2012

Specialties and licenses

TaxonomyCodeLicenseState
Psychiatry & Neurology, Psychiatry Primary2084P0800X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (IN)

Medicare sources and data years

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