Organization
INSTITUTE OF NEUROLOGICAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMIR SHAHRAM MAKOUI M.D. (PRESIDENT)
(310) 498-1608
Entity
Organization
Contact information
Practice address
615 W AVENUE Q, SUITE D, PALMDALE, CA 93551-3887
(661) 266-4500
(661) 266-4502
Mailing address
615 W AVENUE Q, SUITE D, PALMDALE, CA 93551-3887
(661) 266-4500
(661) 266-4502
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
CA
Other
Enumeration date
04/10/2007
Last updated
06/29/2017
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