Organization
COMPREHENSIVE NEUROLOGY CARE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAHMOOD GHIYATH ALNAHASS MD (OWNER)
(219) 531-6571
Entity
Organization
Contact information
Practice address
502 WALL ST STE 104, VALPARAISO, IN 46383-2599
(219) 531-6571
Mailing address
502 WALL ST, STE 104, VALPARAISO, IN 46383-2584
(219) 531-6571
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
01055878A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
194350
MEDICARE ID
IN
05
—
200415900A
—
IN
Enumeration date
02/18/2011
Last updated
02/18/2011
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