Organization
COMMONWEALTH NEUROLOGY & SLEEP CENTER
Active
Other names
Commonwealth Neuroscience Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEEPA NIDHIRY MD (PRESIDENT)
(859) 236-5366
Entity
Organization
Contact information
Practice address
439 W WALNUT ST, SUITE 201, DANVILLE, KY 40422-1877
(859) 236-5366
(859) 236-6754
Mailing address
PO BOX 2485, DANVILLE, KY 40423-2485
(859) 236-5366
(859) 236-6754
Taxonomy
Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
42286
KY
2084N0400X
Neurology Physician
Primary
42286
KY
2084N0600X
Clinical Neurophysiology Physician
42286
KY
Other
Enumeration date
01/19/2011
Last updated
07/05/2016
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