| Abc Neurology, P.l.l.c. | |
|
1230 W 24th St Ste.1 Yuma AZ 85364-6232 | |
| (928) 314-3702 | |
| (928) 314-4687 |
| Full Name | Abc Neurology, P.l.l.c. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1230 W 24th St, Yuma, Arizona |
| Authorized Official Name and Position | Bapu Chand Aluri (PRESIDENT) |
| Authorized Official Contact | 9283143702 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Abc Neurology, P.l.l.c. 1230 W 24th St Ste.1 Yuma AZ 85364-6232 Ph: (928) 314-3702 | Abc Neurology, P.l.l.c. 1230 W 24th St Ste.1 Yuma AZ 85364-6232 Ph: (928) 314-3702 |
| NPI Number | 1356459473 |
|---|---|
| Provider Enumeration Date | 08/28/2006 |
| Last Update Date | 07/07/2015 |
| Medicare PECOS PAC ID | 1153317599 |
|---|---|
| Medicare Enrollment ID | O20040422000000 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356459473 | NPI | - | NPPES |
| 551095 | Medicaid | AZ | |
| 793647 | Medicaid | AZ | |
| AZ0880500 | Other | AZ | BC/BS OF AZ. |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 28684 (Arizona) | Primary |
| Provider Name | Bapu C Aluri |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1487762456 PECOS PAC ID: 2062408404 Enrollment ID: I20050927001567 |
| Provider Name | Doris Yoder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730668328 PECOS PAC ID: 7911259478 Enrollment ID: I20181010002734 |
| Provider Name | Kendra Lashon Foreman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366924763 PECOS PAC ID: 1850626755 Enrollment ID: I20190715003162 |
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