Organization
ROLLA NEUROLOGY, PAIN & SLEEP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMMAD AKHTAR CHOUDHARY M.D. (PHYSICIAN)
(573) 341-8500
Entity
Organization
Contact information
Practice address
604 W 6TH ST, SUITE A, ROLLA, MO 65401-2941
(573) 341-8500
(573) 341-8581
Mailing address
604 W 6TH ST, SUITE A, ROLLA, MO 65401-2941
(573) 341-8500
(573) 341-8581
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207629510
—
MO
Enumeration date
08/19/2008
Last updated
11/08/2012
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