Organization
NIVA INSTITUTE OF NEUROSCIENCES, INC.,
Active
Organization
NIVA INSTITUTE OF NEUROSCIENCES, INC.,
Active
Other names
NINS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAVI ASHOK PATEL M.D, MBA, FACP, FAHA (CEO AND PRESIDENT)
(760) 242-4810
Entity
Organization
Contact information
Practice address
15963 QUANTICO RD, SUITE C,, APPLE VALLEY, CA 92307-0839
(760) 242-4810
(760) 242-4760
Mailing address
15963 QUANTICO RD, SUITE C,, APPLE VALLEY, CA 92307-0839
(760) 242-4810
(760) 242-4760
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
A115902
CA
Other
Enumeration date
12/04/2011
Last updated
08/30/2012
Update your record
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