COMMONWEALTH NEUROLOGY & SLEEP CENTER NPI 1902101199

NPI Information

NPI: 1902101199
Provider Name: COMMONWEALTH NEUROLOGY & SLEEP CENTER

Doing Business As: COMMONWEALTH NEUROSCIENCE CENTER

Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
439 W WALNUT ST
SUITE 201
DANVILLE, KY
ZIP 40422
Phone: (859) 236-5366
Get Directions

COMMONWEALTH NEUROLOGY & SLEEP CENTER is a neurology psychiatry neurology in Danville, KY. 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. COMMONWEALTH NEUROLOGY & SLEEP CENTER NPI is 1902101199. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Commonwealth Neuroscience Center.

The provider's business location address is:

439 W WALNUT ST
SUITE 201
DANVILLE, KY
ZIP 40422-877
Phone: (859) 236-5366
Fax: (859) 236-6754

The provider's authorized official is Deepa Nidhiry .
The authorized official title is President and has the following contact phone number (859) 236-5366.

The enumeration date for this NPI number is 1/19/2011 and was last updated on 7/5/2016.

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
1	207RS0012X	Internal Medicine	Sleep Medicine	42286	KENTUCKY	No
2	2084N0600X	Psychiatry & Neurology	Clinical Neurophysiology	42286	KENTUCKY	No
3	2084N0400X	Psychiatry & Neurology	Neurology	42286	KENTUCKY	Yes

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
1	P100043406	MEDICARE PIN

What is NPI?

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This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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