| Ohio Valley Neurology Llc | |
|
200 Clinic Dr Madisonville KY 42431-1661 | |
| (270) 825-6601 | |
| (270) 825-7352 |
| Full Name | Ohio Valley Neurology Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 200 Clinic Dr, Madisonville, Kentucky |
| Authorized Official Name and Position | Naghma Shireen Mufti (PRESIDENT) |
| Authorized Official Contact | 8124921960 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ohio Valley Neurology Llc Po Box 15037 Evansville IN 47716-0037 Ph: (812) 492-1960 | Ohio Valley Neurology Llc 200 Clinic Dr Madisonville KY 42431-1661 Ph: (270) 825-6601 |
| NPI Number | 1023005394 |
|---|---|
| Provider Enumeration Date | 10/03/2005 |
| Last Update Date | 03/18/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023005394 | NPI | - | NPPES |
| 7100062150 | Medicaid | KY | |
| 200495640 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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