| Columbia Center For Child Neurology | |
|
1100 Club Village Dr Ste 102 Columbia MO 65203-4411 | |
| (573) 447-4400 | |
| (573) 303-0140 |
| Full Name | Columbia Center For Child Neurology |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1100 Club Village Dr Ste 102, Columbia, Missouri |
| Authorized Official Name and Position | Nitin C Patel (M.D.) |
| Authorized Official Contact | 5734420940 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Columbia Center For Child Neurology 1100 Club Village Dr Ste 102 Columbia MO 65203-4411 Ph: (573) 447-4400 | Columbia Center For Child Neurology 1100 Club Village Dr Ste 102 Columbia MO 65203-4411 Ph: (573) 447-4400 |
| NPI Number | 1255776704 |
|---|---|
| Provider Enumeration Date | 05/09/2013 |
| Last Update Date | 05/03/2016 |
| Medicare PECOS PAC ID | 6901104710 |
|---|---|
| Medicare Enrollment ID | O20160523001481 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255776704 | NPI | - | NPPES |
| 208870808 | Medicaid | MO | |
| 370009866 | Other | PR MEDICARE |
| Provider Name | Nitin C Patel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144267865 PECOS PAC ID: 7113816752 Enrollment ID: I20040312000264 |
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