| Neurological Associates Of Western Ma | |
|
15 Hospital Dr Suite 401 Holyoke MA 01040-6606 | |
| (413) 534-5135 | |
| (413) 534-3328 |
| Full Name | Neurological Associates Of Western Ma |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 15 Hospital Dr, Holyoke, Massachusetts |
| Authorized Official Name and Position | Mohammad Ali Hazratji (PARTNER) |
| Authorized Official Contact | 4135345135 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurological Associates Of Western Ma 15 Hospital Dr Suite 401 Holyoke MA 01040-6606 Ph: (413) 534-5135 | Neurological Associates Of Western Ma 15 Hospital Dr Suite 401 Holyoke MA 01040-6606 Ph: (413) 534-5135 |
| NPI Number | 1649347659 |
|---|---|
| Provider Enumeration Date | 11/29/2006 |
| Last Update Date | 06/05/2008 |
| Medicare PECOS PAC ID | 1456339456 |
|---|---|
| Medicare Enrollment ID | O20040707001227 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649347659 | NPI | - | NPPES |
| 130000085 | Other | CT | MEDICARE OF CT |
| M17327 | Other | MA | BS |
| DB5703 | Other | MA | RAILROAD MEDICARE |
| 9715461 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Mohammad A Hazratji |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1578551966 PECOS PAC ID: 2961395538 Enrollment ID: I20040206000191 |
| Provider Name | Muhammad Z Kareem |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1235126061 PECOS PAC ID: 0143113720 Enrollment ID: I20040206000248 |
| Provider Name | Victoria Rondinelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679251193 PECOS PAC ID: 4183072291 Enrollment ID: I20231130001395 |
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