Northwest Neurological Associates Pllc | |
298 Clear Sky Ct Suite F Clarksville TN 37043-5685 | |
(931) 245-6020 | |
(931) 245-0624 |
Full Name | Northwest Neurological Associates Pllc |
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Speciality | Psychiatry & Neurology |
Location | 298 Clear Sky Ct, Clarksville, Tennessee |
Authorized Official Name and Position | Maqbool Ahmed (OWNER) |
Authorized Official Contact | 9312456020 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Northwest Neurological Associates Pllc 298 Clear Sky Ct Suite F Clarksville TN 37043-5685 Ph: (931) 245-6020 | Northwest Neurological Associates Pllc 298 Clear Sky Ct Suite F Clarksville TN 37043-5685 Ph: (931) 245-6020 |
NPI Number | 1023335270 |
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Provider Enumeration Date | 04/28/2010 |
Last Update Date | 09/09/2010 |
Medicare PECOS PAC ID | 2668596685 |
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Medicare Enrollment ID | O20100827000541 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023335270 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
Provider Name | Maqbool Ahmed |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1548300916 PECOS PAC ID: 0749304764 Enrollment ID: I20100827000563 |
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