POPLAR BLUFF NEUROLOGY CENTER PC NPI 1154650331

NPI Information

  • NPI: 1154650331
  • Provider Name: POPLAR BLUFF NEUROLOGY CENTER, PC
  • Classification: Clinic/Center - 261QM2500X
  • Specialization: Medical Specialty
  • Entity Type: Organization
  • CLIA Number: 26D0943612
  • Address: 2210 BARRON RD
    SUITE 112
    POPLAR BLUFF, MO
    ZIP 63901
  • Phone: (573) 785-0889

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NPI Details

POPLAR BLUFF NEUROLOGY CENTER, PC is a medical specialty clinic center in Poplar Bluff, MO. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). POPLAR BLUFF NEUROLOGY CENTER, PC NPI is 1154650331. The provider is registered as an organization entity type.

The provider's business location address is:

2210 BARRON RD
SUITE 112
POPLAR BLUFF, MO
ZIP 63901-908
Phone: (573) 785-0889
Fax: (573) 785-2011

The provider's authorized official is Shahid Karim Choudhary .
The authorized official title is Presedent and has the following contact phone number (573) 785-0889.

The CLIA number assigned to this NPI record is 26D0943612 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/16/2009 and was last updated on 3/11/2015.

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
1261QM2500XClinic/CenterMedical Specialty104541MISSOURIYes

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
1F68709MEDICARE UPIN

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: 3/30/2025

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