| Parkinsons Restless Legs & Movement Disorder Specialists Pllc | |
|
6618 Sitio Del Rio Blvd Ste D102 Austin TX 78730-1148 | |
| (512) 241-1567 | |
| (512) 241-1685 |
| Full Name | Parkinsons Restless Legs & Movement Disorder Specialists Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 6618 Sitio Del Rio Blvd Ste D102, Austin, Texas |
| Authorized Official Name and Position | Shelley Mcgahey (PRACTICE MANAGER) |
| Authorized Official Contact | 5122411567 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Parkinsons Restless Legs & Movement Disorder Specialists Pllc 6618 Sitio Del Rio Blvd Ste D102 Austin TX 78730-1148 Ph: (512) 241-1567 | Parkinsons Restless Legs & Movement Disorder Specialists Pllc 6618 Sitio Del Rio Blvd Ste D102 Austin TX 78730-1148 Ph: (512) 241-1567 |
| NPI Number | 1174121586 |
|---|---|
| Provider Enumeration Date | 10/16/2020 |
| Last Update Date | 03/23/2022 |
| Certification Date | 01/14/2022 |
| Medicare PECOS PAC ID | 7113337353 |
|---|---|
| Medicare Enrollment ID | O20201029001522 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174121586 | NPI | - | NPPES |
| 314993207 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| 2084N0600X | Psychiatry & Neurology - Clinical Neurophysiology | (* (Not Available)) | Secondary |
| Provider Name | Subhashie W Sarathkumara |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215190244 PECOS PAC ID: 6406091420 Enrollment ID: I20130322000211 |
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