| Midtown Neurology, P.c. | |
|
285 Boulevard Ne Ste 610 Atlanta GA 30312-4212 | |
| (404) 653-0039 | |
| (404) 653-0159 |
| Full Name | Midtown Neurology, P.c. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 285 Boulevard Ne Ste 610, Atlanta, Georgia |
| Authorized Official Name and Position | Husham P Mishu (OWNER) |
| Authorized Official Contact | 4046530039 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Midtown Neurology, P.c. 285 Boulevard Ne Ste 610 Atlanta GA 30312-4212 Ph: (404) 653-0039 | Midtown Neurology, P.c. 285 Boulevard Ne Ste 610 Atlanta GA 30312-4212 Ph: (404) 653-0039 |
| NPI Number | 1407869407 |
|---|---|
| Provider Enumeration Date | 08/14/2006 |
| Last Update Date | 10/08/2024 |
| Certification Date | 10/08/2024 |
| Medicare PECOS PAC ID | 0244228708 |
|---|---|
| Medicare Enrollment ID | O20040504000174 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407869407 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Husham Mishu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1326022583 PECOS PAC ID: 1355235714 Enrollment ID: I20040209000624 |
| Provider Name | Julian A Bragg |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164606018 PECOS PAC ID: 1951447382 Enrollment ID: I20091015000107 |
| Provider Name | Marissa Torres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285199794 PECOS PAC ID: 2062844111 Enrollment ID: I20191112001456 |
| Provider Name | Jennifer Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598314254 PECOS PAC ID: 1355769316 Enrollment ID: I20200908003424 |
| Provider Name | Hasan Faraj Dawood |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831695329 PECOS PAC ID: 7517324536 Enrollment ID: I20230607001160 |
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