Organization
PIONEER NEUROLOGY AND SLEEP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANI U ATHREYA MD (PRESIDENT)
(413) 736-1500
Entity
Organization
Contact information
Practice address
299 CAREW ST, SUITE 326, SPRINGFIELD, MA 01104-2301
(413) 736-1500
(413) 736-1600
Mailing address
785 WILLIAMS ST, SUITE 324, LONGMEADOW, MA 01106-2063
(413) 736-1500
(413) 736-1600
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
208931
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2106108
MASS MEDICAID
MA
01
—
A39156
MEDICARE
MA
Enumeration date
09/24/2012
Last updated
09/24/2012
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