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NEURO CARE OF VIRGINIA PC NPI 1124087812


NPI Information

NPI: 1124087812
Provider Name: NEURO CARE OF VIRGINIA PC
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
4720 PUDDLEDOCK RD
SUITE 100
PRINCE GEORGE, VA
ZIP 23875
Phone: (804) 452-4546
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NEURO CARE OF VIRGINIA PC is a neurology psychiatry neurology in Prince George, VA. 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. NEURO CARE OF VIRGINIA PC NPI is 1124087812. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4720 PUDDLEDOCK RD
SUITE 100
PRINCE GEORGE, VA
ZIP 23875-237
Phone: (804) 452-4546
Fax: (804) 452-4549

The provider's authorized official is Mubashir A Khan .
The authorized official title is President and has the following contact phone number (804) 452-4546.

The enumeration date for this NPI number is 3/21/2006 and was last updated on 8/26/2015.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084N0400XPsychiatry & NeurologyNeurologyYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11023087368OTHERVIRGINIADR. KHAN NPI
2C08332OTHERMEDICARE GROUP NUMBER
31710154786OTHERVIRGINIADR. BU NPI

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: 5/5/2024

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