Neurocare Center Pc | |
923 9th St Suite A Alamogordo NM 88310-6431 | |
(575) 439-9000 | |
(575) 439-9144 |
Full Name | Neurocare Center Pc |
---|---|
Speciality | Psychiatry & Neurology - Neurology |
Location | 923 9th St, Alamogordo, New Mexico |
Authorized Official Name and Position | Madhuri Koganti (OWNER) |
Authorized Official Contact | 5754399000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Neurocare Center Pc 923 9th St Suite A Alamogordo NM 88310-6431 Ph: (575) 439-9000 | Neurocare Center Pc 923 9th St Suite A Alamogordo NM 88310-6431 Ph: (575) 439-9000 |
NPI Number | 1235362195 |
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Provider Enumeration Date | 08/26/2009 |
Last Update Date | 10/16/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235362195 | NPI | - | NPPES |
1467557124 | Other | INDIVIDUAL NPI | |
104895900 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | MD2009-0573 (New Mexico) | Primary |
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