| Pikeville Neurology Clinic & Diagnostic Center Psc | |
|
515 N Bypass Rd Suite 101 Pikeville KY 41501-1331 | |
| (606) 437-4100 | |
| (606) 432-6009 |
| Full Name | Pikeville Neurology Clinic & Diagnostic Center Psc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 515 N Bypass Rd, Pikeville, Kentucky |
| Authorized Official Name and Position | Sujata Gutti (PRESIDENT) |
| Authorized Official Contact | 6064374100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pikeville Neurology Clinic & Diagnostic Center Psc Po Box 2158 Pikeville KY 41502-2158 Ph: (606) 437-4100 | Pikeville Neurology Clinic & Diagnostic Center Psc 515 N Bypass Rd Suite 101 Pikeville KY 41501-1331 Ph: (606) 437-4100 |
| NPI Number | 1043530371 |
|---|---|
| Provider Enumeration Date | 06/09/2010 |
| Last Update Date | 06/10/2010 |
| Medicare PECOS PAC ID | 8224168695 |
|---|---|
| Medicare Enrollment ID | O20100610000897 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043530371 | NPI | - | NPPES |
| 64327711 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Sujata R Gutti |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831299346 PECOS PAC ID: 9537299912 Enrollment ID: I20100610001003 |
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