| Indiana Neurology And Pain Center Llc | |
|
7301 N Shadeland Ave Ste 1a Indianapolis IN 46250-2877 | |
| (317) 939-6100 | |
| Not Available |
| Full Name | Indiana Neurology And Pain Center Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 7301 N Shadeland Ave Ste 1a, Indianapolis, Indiana |
| Authorized Official Name and Position | Samiullah Kundi (SOLE MEMBER) |
| Authorized Official Contact | 3179396100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Indiana Neurology And Pain Center Llc 7301 N Shadeland Ave Ste 1a Indianapolis IN 46250-2877 Ph: (317) 939-6100 | Indiana Neurology And Pain Center Llc 7301 N Shadeland Ave Ste 1a Indianapolis IN 46250-2877 Ph: (317) 939-6100 |
| NPI Number | 1659890218 |
|---|---|
| Provider Enumeration Date | 09/14/2017 |
| Last Update Date | 10/10/2023 |
| Certification Date | 10/10/2023 |
| Medicare PECOS PAC ID | 5294001574 |
|---|---|
| Medicare Enrollment ID | O20171218003404 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659890218 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P2900X | Psychiatry & Neurology - Pain Medicine | 01067436A (Indiana) | Primary |
| Provider Name | Caryn M Vogel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1437157435 PECOS PAC ID: 9830184191 Enrollment ID: I20050309000554 |
| Provider Name | Vicki E Burdine |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780617092 PECOS PAC ID: 4284527706 Enrollment ID: I20050917000011 |
| Provider Name | Samiullah Khan Kundi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932249323 PECOS PAC ID: 2365573417 Enrollment ID: I20100706000522 |
| Provider Name | Maysa A Ridha |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851512800 PECOS PAC ID: 7911159421 Enrollment ID: I20121208000020 |
| Provider Name | Melissa Anthony |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780079004 PECOS PAC ID: 3971823055 Enrollment ID: I20150514000277 |
| Provider Name | Bobby Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457891806 PECOS PAC ID: 1759650963 Enrollment ID: I20190521003514 |
| Provider Name | Assad Mukhtar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609259001 PECOS PAC ID: 7315240876 Enrollment ID: I20190614000437 |
| Provider Name | David Bryan Nolte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245860436 PECOS PAC ID: 0749607232 Enrollment ID: I20200828001607 |
| Provider Name | Morgan Louise Solari |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003562281 PECOS PAC ID: 4981090644 Enrollment ID: I20220405001923 |
| Provider Name | Samuel Kleber |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225438880 PECOS PAC ID: 8123301967 Enrollment ID: I20220617001970 |
| Provider Name | Ali Akmal |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1750692745 PECOS PAC ID: 0547573768 Enrollment ID: I20220714000785 |
| Provider Name | Ting Wei |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1861999773 PECOS PAC ID: 4789930819 Enrollment ID: I20230712004247 |
| Provider Name | Naveed Javied |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639443542 PECOS PAC ID: 4880030832 Enrollment ID: I20240312003748 |
Indiana Behavior Analysis Academy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2417 Baur Dr, Indianapolis, IN 46220 Phone: 317-414-2147 | |
St. Vincent Stress Center Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 8401 Harcourt Rd, Indianapolis, IN 46260 Phone: 317-338-4600 | |
Reach For Youth, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5401 Shelby St, Indianapolis, IN 46227 Phone: 317-788-4451 Fax: 317-788-4465 | |
Hns Consulting Services Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4954 E 56th St Ste 14, Indianapolis, IN 46220 Phone: 317-640-6997 | |
Brain Performance Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3003 E. 98th Street, Suite # 107, Indianapolis, IN 46280 Phone: 463-273-2093 Fax: 317-672-1971 | |
Counseling Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 931 E 86th St, Ste. 101, Indianapolis, IN 46240 Phone: 317-466-1516 | |
Mind Matters Counseling And Support Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7962 Oaklandon Rd Ste 106, Indianapolis, IN 46236 Phone: 317-721-6145 |