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HAVASU NEUROLOGICAL CENTER PLLC NPI 1063849388


NPI Information

NPI: 1063849388
Provider Name: HAVASU NEUROLOGICAL CENTER PLLC
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
297 LAKE HAVASU AVE S
SUITE 106
LAKE HAVASU CITY, AZ
ZIP 86403
Phone: (928) 680-4040
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HAVASU NEUROLOGICAL CENTER PLLC is a neurology psychiatry neurology in Lake Havasu City, AZ. 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. HAVASU NEUROLOGICAL CENTER PLLC NPI is 1063849388. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

297 LAKE HAVASU AVE S
SUITE 106
LAKE HAVASU CITY, AZ
ZIP 86403-526
Phone: (928) 680-4040
Fax: (928) 680-4484

The provider's authorized official is Maame A Dankwah-quansah .
The authorized official title is Owner/member and has the following contact phone number (928) 680-4040.

The enumeration date for this NPI number is 10/1/2013 and was last updated on 3/13/2014.


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
12084N0400XPsychiatry & NeurologyNeurologyARIZONAYes

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
1872509MEDICAIDARIZONA
2P-1875159-0OTHERARIZONACORPORATION NUMBER

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.