| Rush Neurology Associates, Pllc | |
|
1800 12th St Suite 2a Meridian MS 39301-4158 | |
| (601) 703-4366 | |
| (601) 703-4064 |
| Full Name | Rush Neurology Associates, Pllc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 1800 12th St, Meridian, Mississippi |
| Authorized Official Name and Position | Rafique Ahmad (OWNER) |
| Authorized Official Contact | 2054594778 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rush Neurology Associates, Pllc Po Box 288 Meridian MS 39302-0288 Ph: (601) 703-9506 | Rush Neurology Associates, Pllc 1800 12th St Suite 2a Meridian MS 39301-4158 Ph: (601) 703-4366 |
| NPI Number | 1104884139 |
|---|---|
| Provider Enumeration Date | 05/01/2006 |
| Last Update Date | 04/22/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104884139 | NPI | - | NPPES |
| 529918060 | Medicaid | AL | |
| DA7862 | Other | RAILROAD MEDICARE | |
| 264359700 | Other | US DEPT OF LABOR W/C | |
| 07837071 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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