| Gulf Neurology | |
|
4325 Downtowner Loop N Mobile AL 36609-5501 | |
| (251) 460-9095 | |
| (888) 388-5206 |
| Full Name | Gulf Neurology |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 4325 Downtowner Loop N, Mobile, Alabama |
| Authorized Official Name and Position | Ilyas Ahmed Shaikh (PRESIDENT) |
| Authorized Official Contact | 2514609095 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gulf Neurology Po Box 6714 Mobile AL 36660-0714 Ph: (251) 460-9095 | Gulf Neurology 4325 Downtowner Loop N Mobile AL 36609-5501 Ph: (251) 460-9095 |
| NPI Number | 1134205511 |
|---|---|
| Provider Enumeration Date | 10/28/2006 |
| Last Update Date | 10/29/2010 |
| Medicare PECOS PAC ID | 9931196185 |
|---|---|
| Medicare Enrollment ID | O20040428001592 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134205511 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Secondary |
| 2084N0400X | Psychiatry & Neurology - Neurology | 20842 (Alabama) | Primary |
| Provider Name | Ilyas A Shaikh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1023099645 PECOS PAC ID: 0749277994 Enrollment ID: I20040430000471 |
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