NPI: 1518905439
Provider Name: MIR NEUROLOGY CENTER PA
Former Legal Business Name: SARIM R. MIR, M.D., P.A
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization
Specialization: Neurology
CLIA Number: 21D2140670
Address:
11110 MEDICAL CAMPUS RD
SUITE 151
HAGERSTOWN, MD
ZIP 21742
Phone: (301) 797-7600
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MIR NEUROLOGY CENTER PA is a neurology psychiatry neurology in Hagerstown, MD. 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. MIR NEUROLOGY CENTER PA NPI is 1518905439. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Sarim R. Mir, M.d., P.a.
The provider's business location address is:
11110 MEDICAL CAMPUS RD
SUITE 151
HAGERSTOWN, MD
ZIP 21742-700
Phone: (301) 797-7600
Fax: (301) 797-1249
The provider's authorized official is Sarim Rahman Mir .
The authorized official title is President, Senior Neurologist and has the following contact phone number (301) 797-7600.
The CLIA number assigned to this NPI record is 21D2140670 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 6/3/2006 and was last updated on 3/10/2014.