Delta Neurology Clinic, Pllc

LBN: Delta Neurology Clinic, Pllc
Delta Neurology Clinic, Pllc is an health care organization with primary practice located at 785 Ohio Ave Suite 2C, Clarksdale MS 38614-6217. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty. Delta Neurology Clinic, Pllc can be contacted via phone (662) 627-2544, or through Hadidi, M Faseeh via phone (662) 627-2544.

Contact Information

Primary practice address
785 Ohio Ave Suite 2C Clarksdale MS 38614-6217
Phone: (662) 627-2544
Fax: (662) 627-2052
Website:
Map and Directions
Authorized official contact:
Name: Hadidi, M Faseeh Doctor of Medicine (MD)
Phone: (662) 627-2544

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X 17427 Mississippi

Profile Details

NPI number 1255580049
LBN Legal business name Delta Neurology Clinic, Pllc
DBA Doing business as
Authorized official Hadidi, M Faseeh Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 16th, 2008
Last updated Jan 6th, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255580049 NPPES
Mississippi MEDICAID 00124811
Mississippi MEDICAID 154530001

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