Organization
ADVANCED NEUROLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAHMOOD GHIYATH ALNAHASS MD (PRESIDENT)
(219) 531-6571
Entity
Organization
Contact information
Practice address
1551 STURDY RD, VALPARAISO, IN 46383-7883
(219) 531-6571
(219) 462-0765
Mailing address
206 GLENCOE DR, VALPARAISO, IN 46385-7760
(219) 531-6571
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
01055878A
IN
2084N0600X
Clinical Neurophysiology Physician
01055878A
IN
Other
Enumeration date
02/08/2018
Last updated
12/21/2023
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