| Advanced Neurology Llc | |
|
1551 Sturdy Rd Valparaiso IN 46383-7883 | |
| (219) 531-6571 | |
| (219) 462-0765 |
| Full Name | Advanced Neurology Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1551 Sturdy Rd, Valparaiso, Indiana |
| Authorized Official Name and Position | Mahmood Ghiyath Alnahass (PRESIDENT) |
| Authorized Official Contact | 2195316571 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Neurology Llc 206 Glencoe Dr Valparaiso IN 46385-7760 Ph: (219) 531-6571 | Advanced Neurology Llc 1551 Sturdy Rd Valparaiso IN 46383-7883 Ph: (219) 531-6571 |
| NPI Number | 1821597485 |
|---|---|
| Provider Enumeration Date | 02/08/2018 |
| Last Update Date | 12/21/2023 |
| Certification Date | 12/21/2023 |
| Medicare PECOS PAC ID | 1456613751 |
|---|---|
| Medicare Enrollment ID | O20180327000647 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821597485 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 01055878A (Indiana) | Primary |
| 2084N0600X | Psychiatry & Neurology - Clinical Neurophysiology | 01055878A (Indiana) | Secondary |
| Provider Name | Mahmood G Alnahass |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1497756720 PECOS PAC ID: 3476538604 Enrollment ID: I20040622001002 |
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