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CENTER FOR NEUROLOGICAL DISORDERS SC NPI 1649223041


NPI Information

NPI: 1649223041
Provider Name: CENTER FOR NEUROLOGICAL DISORDERS, SC
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

CLIA Number: 52D2261775

Address:
3237 S 16TH ST
MILWAUKEE, WI
ZIP 53215
Phone: (414) 769-4040
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CENTER FOR NEUROLOGICAL DISORDERS, SC is a neurology psychiatry neurology in Milwaukee, WI. 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. CENTER FOR NEUROLOGICAL DISORDERS, SC NPI is 1649223041. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3237 S 16TH ST
MILWAUKEE, WI
ZIP 53215-526
Phone: (414) 769-4040
Fax: (414) 769-4041

The provider's authorized official is Bhupendra O Khatri .
The authorized official title is President and has the following contact phone number (414) 769-4040.

The CLIA number assigned to this NPI record is 52D2261775 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/18/2006 and was last updated on 2/9/2024.


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
1208100000XPhysical Medicine & RehabilitationNo
22084N0400XPsychiatry & NeurologyNeurologyWISCONSINYes

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
132792200MEDICAIDWISCONSIN

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: 4/28/2024

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.