Neurology Electrodiagnostics Center Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

4301079672 Issued in MI

Legal business name

NEUROLOGY ELECTRODIAGNOSTICS CENTER INC

Practice address

14650 W Warren Ave
Suite 150
Dearborn, MI 48126-1799

Phone

(313) 581-0200

Fax

(313) 582-3300

NPI assigned

Sep 18, 2010

Organization subpart

No

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

Authorized official

Name

Khalil Nasrallah, M.D.

Title

President

Phone

(989) 737-1187

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1284768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308182400000",
    "number": "1962710426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2443 COPPER CREEK DR",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487069071",
            "telephone_number": "989-737-1187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14650 W WARREN AVE",
            "address_2": "SUITE 150",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481261799",
            "telephone_number": "313-581-0200",
            "fax_number": "313-582-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGY ELECTRODIAGNOSTICS CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-18",
        "last_updated": "2011-06-16",
        "status": "A",
        "authorized_official_last_name": "NASRALLAH",
        "authorized_official_first_name": "KHALIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "989-737-1187",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MI",
            "license": "4301079672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2011; 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.