Organization
DANVILLE NEUROLOGY & SLEEP CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MUGABALA B ASWATH M.D (M.D.)
(434) 792-3131
Entity
Organization
Contact information
Practice address
130 GRAY ST, DANVILLE, VA 24541-2942
(434) 792-3131
(434) 792-3303
Mailing address
130 GRAY ST, DANVILLE, VA 24541-2942
(434) 792-3131
(434) 792-3303
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101058334
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1134323801
INDIVIDUAL NPI
VA
05
—
7114681
—
VA
Enumeration date
08/08/2007
Last updated
08/08/2007
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