| Virtual Neurology Kansas, Llc | |
|
9110 College Pointe Ct Fort Myers FL 33919-3244 | |
| (239) 208-2212 | |
| Not Available |
| Full Name | Virtual Neurology Kansas, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 9110 College Pointe Ct, Fort Myers, Florida |
| Authorized Official Name and Position | Mohammed Zaman (OWNER) |
| Authorized Official Contact | 2392082212 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Virtual Neurology Kansas, Llc 9110 College Pointe Ct Fort Myers FL 33919-3244 Ph: () - | Virtual Neurology Kansas, Llc 9110 College Pointe Ct Fort Myers FL 33919-3244 Ph: (239) 208-2212 |
| NPI Number | 1942922687 |
|---|---|
| Provider Enumeration Date | 09/19/2022 |
| Last Update Date | 09/19/2022 |
| Certification Date | 09/19/2022 |
| Medicare PECOS PAC ID | 9436694270 |
|---|---|
| Medicare Enrollment ID | O20240716003763 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942922687 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Yelena G Vidgop |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1336300771 PECOS PAC ID: 0941444095 Enrollment ID: I20130911000807 |
| Provider Name | Jeffrey L Ortstadt |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1467480376 PECOS PAC ID: 4880631274 Enrollment ID: I20170202000817 |
| Provider Name | Birenkumar Rajandrakumar Patel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679900062 PECOS PAC ID: 0547533788 Enrollment ID: I20191028001092 |
| Provider Name | Justin T De'prey |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356872063 PECOS PAC ID: 3274806674 Enrollment ID: I20220621003409 |
| Provider Name | Kyle William Binder |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841635422 PECOS PAC ID: 8325479116 Enrollment ID: I20230123000057 |
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