Organization
THE NEUROLOGICAL INSTITUTE P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. T HEMANTH P RAO MD (PRESIDENT)
(704) 449-6064
Entity
Organization
Contact information
Practice address
2607 E 7TH ST STE 200, CHARLOTTE, NC 28204-4308
(704) 449-6064
(704) 731-0936
Mailing address
2607 E 7TH ST STE 200, CHARLOTTE, NC 28204-4308
(704) 449-6064
(704) 731-0936
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207T00000X
Neurological Surgery Physician
—
—
2084N0400X
Neurology Physician
Primary
—
—
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
—
—
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0124K
BCBSNC
NC
05
—
890124K
—
NC
Enumeration date
05/16/2006
Last updated
05/11/2022
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