| Neurology And Neurodiagnostic Llc | |
|
1497 Fair Rd Statesboro GA 30458-0822 | |
| (912) 486-1140 | |
| Not Available |
| Full Name | Neurology And Neurodiagnostic Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1497 Fair Rd, Statesboro, Georgia |
| Authorized Official Name and Position | Kashyap Patel (OWNER) |
| Authorized Official Contact | 9124819945 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurology And Neurodiagnostic Llc Po Box 1639 Statesboro GA 30459 Ph: (912) 486-1140 | Neurology And Neurodiagnostic Llc 1497 Fair Rd Statesboro GA 30458-0822 Ph: (912) 486-1140 |
| NPI Number | 1508393208 |
|---|---|
| Provider Enumeration Date | 05/12/2017 |
| Last Update Date | 08/24/2017 |
| Medicare PECOS PAC ID | 1355612565 |
|---|---|
| Medicare Enrollment ID | O20170807002335 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508393208 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0600X | Psychiatry & Neurology - Clinical Neurophysiology | 64438 (Georgia) | Primary |
| Provider Name | Kashyap Patel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700947231 PECOS PAC ID: 5092859983 Enrollment ID: I20110103000096 |
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