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FREMONT NEUROLOGY MEDICAL ASSOCIATES INC A PROF MEDICAL CORP NPI 1144280660


NPI Information

NPI: 1144280660
Provider Name: FREMONT NEUROLOGY MEDICAL ASSOCIATES INC A PROF MEDICAL CORP
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
722 MOWRY AVE
FREMONT, CA
ZIP 94536
Phone: (510) 713-3390
Get Directions

FREMONT NEUROLOGY MEDICAL ASSOCIATES INC A PROF MEDICAL CORP is a neurology psychiatry neurology in Fremont, CA. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. FREMONT NEUROLOGY MEDICAL ASSOCIATES INC A PROF MEDICAL CORP NPI is 1144280660. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

722 MOWRY AVE
FREMONT, CA
ZIP 94536-115
Phone: (510) 713-3390
Fax: (510) 713-3393

The provider's authorized official is Prabhjot Singh Khalsa .
The authorized official title is President and has the following contact phone number (510) 713-3390.

The enumeration date for this NPI number is 3/27/2006 and was last updated on 12/11/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084N0600XPsychiatry & NeurologyClinical NeurophysiologyG66263CALIFORNIANo
22084N0400XPsychiatry & NeurologyNeurologyG66263CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100G662631MEDICAIDCALIFORNIA
2F15873MEDICARE UPIN
300G662630MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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