Organization
MEDICAL NEUROLOGY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IJAZ AHMAD M.D. (PRESIDENT)
(304) 522-1299
Entity
Organization
Contact information
Practice address
2828 FIRST AVE SUITE 202, HUNTINGTON, WV 25702-1236
(304) 522-1299
(304) 522-2954
Mailing address
2828 FIRST AVE SUITE 202, HUNTINGTON, WV 25702-1236
(304) 522-1299
(304) 522-2954
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0090974000
—
WV
05
—
0351159
—
OH
05
—
64694862
—
KY
Enumeration date
03/16/2007
Last updated
02/08/2008
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