| Comprehensive Neurology Care, Pc | |
|
502 Wall St Ste 104 Valparaiso IN 46383-2599 | |
| (219) 531-6571 | |
| Not Available |
| Full Name | Comprehensive Neurology Care, Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 502 Wall St Ste 104, Valparaiso, Indiana |
| Authorized Official Name and Position | Mahmood Ghiyath Alnahass (OWNER) |
| Authorized Official Contact | 2195316571 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Comprehensive Neurology Care, Pc 502 Wall St Ste 104 Valparaiso IN 46383-2584 Ph: (219) 531-6571 | Comprehensive Neurology Care, Pc 502 Wall St Ste 104 Valparaiso IN 46383-2599 Ph: (219) 531-6571 |
| NPI Number | 1023315587 |
|---|---|
| Provider Enumeration Date | 02/18/2011 |
| Last Update Date | 02/18/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023315587 | NPI | - | NPPES |
| 200415900A | Medicaid | IN | |
| 194350 | Other | IN | MEDICARE ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 01055878A (Indiana) | Primary |
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