DELTA NEUROLOGY CLINIC PLLC NPI 1255580049

NPI Information

  • NPI: 1255580049
  • Provider Name: DELTA NEUROLOGY CLINIC, PLLC
  • Classification: Clinic/Center - 261QM2500X
  • Specialization: Medical Specialty
  • Entity Type: Organization
  • Address: 785 OHIO AVE
    SUITE 2C
    CLARKSDALE, MS
    ZIP 38614
  • Phone: (662) 627-2544

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NPI Details

DELTA NEUROLOGY CLINIC, PLLC is a medical specialty clinic center in Clarksdale, MS. 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). DELTA NEUROLOGY CLINIC, PLLC NPI is 1255580049. The provider is registered as an organization entity type.

The provider's business location address is:

785 OHIO AVE
SUITE 2C
CLARKSDALE, MS
ZIP 38614-217
Phone: (662) 627-2544
Fax: (662) 627-2052

The provider's authorized official is M Faseeh Hadidi .
The authorized official title is Owner and has the following contact phone number (662) 627-2544.

The enumeration date for this NPI number is 9/16/2008 and was last updated on 1/6/2014.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM2500XClinic/CenterMedical Specialty17427MISSISSIPPIYes

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
1154530001MEDICAIDARKANSAS
200124811MEDICAIDMISSISSIPPI
313000243MEDICARE UPINMISSISSIPPI

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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