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Organization

RUSH NEUROLOGY ASSOCIATES, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RAFIQUE AHMAD M.D. (OWNER)
(205) 459-4778
Entity
Organization

Contact information

Practice address
1800 12TH ST, SUITE 2A, MERIDIAN, MS 39301-4158
(601) 703-4366
(601) 703-4064
Mailing address
PO BOX 288, MERIDIAN, MS 39302-0288
(601) 703-9506
(601) 703-3264

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
07837071
MS
01
264359700
US DEPT OF LABOR W/C
05
529918060
AL
01
DA7862
RAILROAD MEDICARE
Enumeration date
05/01/2006
Last updated
04/22/2008
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