Adult Neurology Clinic PLLC

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

MD#18215 Issued in MS

Legal business name

ADULT NEUROLOGY CLINIC PLLC

Practice address

401 Southcrest Cir
Suite 210
Southaven, MS 38671-6726

Phone

(662) 536-0577

Fax

(662) 536-0566

NPI assigned

Feb 21, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Debashis Biswas, M.D.

Title

Neurolosist

Phone

(662) 536-0577

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203552000000",
    "number": "1679742944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 SOUTHCREST CIR",
            "address_2": "SUITE 210",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386716726",
            "telephone_number": "662-536-0577",
            "fax_number": "662-536-0566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 SOUTHCREST CIR",
            "address_2": "SUITE 210",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386716726",
            "telephone_number": "662-536-0577",
            "fax_number": "662-536-0566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADULT NEUROLOGY CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-21",
        "last_updated": "2008-02-21",
        "status": "A",
        "authorized_official_last_name": "BISWAS",
        "authorized_official_first_name": "DEBASHIS",
        "authorized_official_title_or_position": "NEUROLOSIST",
        "authorized_official_telephone_number": "662-536-0577",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "MS",
            "license": "MD#18215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Acute Care Hospital in Southaven, MS
• Providers in Southaven, MS by specialty
• General Acute Care Hospital in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.