Comprehensive Neurology Services Pllc | |
10800 Parkside Dr Suite 203 Knoxville TN 37934-1922 | |
(865) 622-6545 | |
(865) 622-6492 |
Full Name | Comprehensive Neurology Services Pllc |
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Speciality | Psychiatry & Neurology |
Location | 10800 Parkside Dr, Knoxville, Tennessee |
Authorized Official Name and Position | Dinu Nodit (SOLE MEMBER) |
Authorized Official Contact | 8656226545 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Comprehensive Neurology Services Pllc 5201 Kingston Pike Suite 6-360 Knoxville TN 37919-5026 Ph: () - | Comprehensive Neurology Services Pllc 10800 Parkside Dr Suite 203 Knoxville TN 37934-1922 Ph: (865) 622-6545 |
NPI Number | 1124356746 |
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Provider Enumeration Date | 11/19/2009 |
Last Update Date | 09/22/2012 |
Medicare PECOS PAC ID | 2961541206 |
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Medicare Enrollment ID | O20091130000453 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124356746 | NPI | - | NPPES |
1801848205 | Other | TN | NPI FOR DINU NODIT, M.D. |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | 40728 (Tennessee) | Primary |
Provider Name | Dinu C Nodit |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1801848205 PECOS PAC ID: 1052314168 Enrollment ID: I20060810000238 |
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