| New Albany Neurology, Psc | |
|
1919 State St Ste 305 New Albany IN 47150-6806 | |
| (812) 944-0367 | |
| (812) 944-1279 |
| Full Name | New Albany Neurology, Psc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1919 State St Ste 305, New Albany, Indiana |
| Authorized Official Name and Position | Akif M Hasan (OWNER) |
| Authorized Official Contact | 8129440367 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Albany Neurology, Psc 1919 State St Ste 305 New Albany IN 47150-6806 Ph: (812) 944-0367 | New Albany Neurology, Psc 1919 State St Ste 305 New Albany IN 47150-6806 Ph: (812) 944-0367 |
| NPI Number | 1568659456 |
|---|---|
| Provider Enumeration Date | 09/25/2007 |
| Last Update Date | 09/25/2007 |
| Medicare PECOS PAC ID | 8123295169 |
|---|---|
| Medicare Enrollment ID | O20120705000206 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568659456 | NPI | - | NPPES |
| 000000198233 | Other | ANTHEM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 01052746A (Indiana) | Primary |
| Provider Name | Akif Hasan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619032190 PECOS PAC ID: 9032386073 Enrollment ID: I20120706000092 |
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