Neuro Logic Pllc | |
3000 Getwell Rd Memphis TN 38118-2299 | |
(901) 444-2644 | |
(901) 333-7770 |
Full Name | Neuro Logic Pllc |
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Speciality | Psychiatry & Neurology |
Location | 3000 Getwell Rd, Memphis, Tennessee |
Authorized Official Name and Position | Ahmad B Al-hamda (CHIEF MANAGER/PROVIDER) |
Authorized Official Contact | 9014442644 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Neuro Logic Pllc Po Box 381195 Germantown TN 38183-1195 Ph: (901) 444-2644 | Neuro Logic Pllc 3000 Getwell Rd Memphis TN 38118-2299 Ph: (901) 444-2644 |
NPI Number | 1114792694 |
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Provider Enumeration Date | 11/15/2023 |
Last Update Date | 05/14/2024 |
Certification Date | 05/14/2024 |
Medicare PECOS PAC ID | 7416397039 |
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Medicare Enrollment ID | O20240430002684 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114792694 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0402X | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology | (* (Not Available)) | Primary |
Provider Name | Ahmad B Al-hamda |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1851357586 PECOS PAC ID: 5890857866 Enrollment ID: I20081229000647 |
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