Organization
PREMIER NEUROLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAYDER KADHIM MD (PHYSICIAN/OWNER)
(216) 771-3413
Entity
Organization
Contact information
Practice address
1730 W 25TH ST STE 3A, CLEVELAND, OH 44113-3108
(216) 771-3414
Mailing address
1730 W 25TH ST STE 3A, CLEVELAND, OH 44113-3108
(216) 771-3414
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4259365
STATE OF OHIO LICENSE
OH
Enumeration date
01/10/2019
Last updated
01/10/2019
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