Organization
INNERVATE NEUROPHYSIOLOGY
Active
Organization
INNERVATE NEUROPHYSIOLOGY
Active
Other names
Innervate Neuro
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES SILVA (PRINCIPAL)
(202) 670-8843
Entity
Organization
Contact information
Practice address
6400 BALTIMORE NATIONAL PIKE, #348, BALTIMORE, MD 21228-3930
(202) 670-8843
Mailing address
6400 BALTIMORE NATIONAL PIKE, #348, BALTIMORE, MD 21228-3930
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
—
—
2084N0600X
Clinical Neurophysiology Physician
Primary
—
—
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
—
—
2084V0102X
Vascular Neurology Physician
—
—
246Z00000X
Other Specialist/Technologist
—
—
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
—
—
246ZS0410X
Surgical Technologist
—
—
Other
Enumeration date
01/28/2017
Last updated
01/28/2017
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