| Neuromuscular Research Center | |
|
4545 E Shea Blvd Ste 175 Phoenix AZ 85028-3074 | |
| (480) 314-1007 | |
| (480) 314-1003 |
| Full Name | Neuromuscular Research Center |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 4545 E Shea Blvd, Phoenix, Arizona |
| Authorized Official Name and Position | Kumarsawamy Sivakumar (OWNER) |
| Authorized Official Contact | 4803141026 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neuromuscular Research Center 4545 E Shea Blvd Ste 175 Phoenix AZ 85028-3074 Ph: (480) 314-1007 | Neuromuscular Research Center 4545 E Shea Blvd Ste 175 Phoenix AZ 85028-3074 Ph: (480) 314-1007 |
| NPI Number | 1386654895 |
|---|---|
| Provider Enumeration Date | 08/08/2006 |
| Last Update Date | 07/25/2014 |
| Medicare PECOS PAC ID | 4082507447 |
|---|---|
| Medicare Enrollment ID | O20040209000035 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386654895 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 25540 (Arizona) | Primary |
| Provider Name | Kumaraswamy Sivakumar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1821035254 PECOS PAC ID: 3971496332 Enrollment ID: I20040412000243 |
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