Provider Demographics
NPI:1003260258
Name:MD NEURO BILLING SERVICES INC
Entity Type:Organization
Organization Name:MD NEURO BILLING SERVICES INC
Other - Org Name:MD NEURO BILLING SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:
Authorized Official - Last Name:SIDDIQUI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-600-1572
Mailing Address - Street 1:2655 1ST ST
Mailing Address - Street 2:STE 250
Mailing Address - City:SIMI VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93065-1547
Mailing Address - Country:US
Mailing Address - Phone:805-915-4767
Mailing Address - Fax:877-705-3046
Practice Address - Street 1:2655 1ST ST
Practice Address - Street 2:STE 250
Practice Address - City:SIMI VALLEY
Practice Address - State:CA
Practice Address - Zip Code:93065-1547
Practice Address - Country:US
Practice Address - Phone:805-915-4767
Practice Address - Fax:877-705-3046
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-13
Last Update Date:2016-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty