| American Telestroke & Neurology Inc | |
|
413 W Robertson St Ste B Brandon FL 33511-5014 | |
| (813) 337-6178 | |
| (813) 337-6179 |
| Full Name | American Telestroke & Neurology Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 413 W Robertson St Ste B, Brandon, Florida |
| Authorized Official Name and Position | Zahid I Choudary (OWNER) |
| Authorized Official Contact | 8133376178 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| American Telestroke & Neurology Inc 9405 Toulon Blvd Seffner FL 33584-2621 Ph: (813) 337-6178 | American Telestroke & Neurology Inc 413 W Robertson St Ste B Brandon FL 33511-5014 Ph: (813) 337-6178 |
| NPI Number | 1073090197 |
|---|---|
| Provider Enumeration Date | 07/21/2018 |
| Last Update Date | 02/17/2023 |
| Certification Date | 02/17/2023 |
| Medicare PECOS PAC ID | 9133542566 |
|---|---|
| Medicare Enrollment ID | O20200702000088 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073090197 | NPI | - | NPPES |
| ME111084 | Other | FL | STATE MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Tarek Bakdash |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871545921 PECOS PAC ID: 2163400953 Enrollment ID: I20041021000330 |
| Provider Name | Zahid I Choudary |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801114160 PECOS PAC ID: 3072787266 Enrollment ID: I20111128000730 |
| Provider Name | Sunil Pokharel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578753646 PECOS PAC ID: 3173719192 Enrollment ID: I20191231002131 |
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