| Neurocare Center Pc | |
|
923 9th St Suite A Alamogordo NM 88310-6431 | |
| (575) 439-9000 | |
| (575) 439-9144 |
| Full Name | Neurocare Center Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 923 9th St, Alamogordo, New Mexico |
| Authorized Official Name and Position | Madhuri Koganti (OWNER) |
| Authorized Official Contact | 5754399000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurocare Center Pc 923 9th St Suite A Alamogordo NM 88310-6431 Ph: (575) 439-9000 | Neurocare Center Pc 923 9th St Suite A Alamogordo NM 88310-6431 Ph: (575) 439-9000 |
| NPI Number | 1235362195 |
|---|---|
| Provider Enumeration Date | 08/26/2009 |
| Last Update Date | 10/16/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235362195 | NPI | - | NPPES |
| 1467557124 | Other | INDIVIDUAL NPI | |
| 104895900 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | MD2009-0573 (New Mexico) | Primary |
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