Provider Demographics
NPI:1033254610
Name:THE NIRMEL NEUROLOGICAL INSTITUTE INC.
Entity Type:Organization
Organization Name:THE NIRMEL NEUROLOGICAL INSTITUTE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPRIETOR
Authorized Official - Prefix:DR
Authorized Official - First Name:KRISHNA
Authorized Official - Middle Name:NARANDAS
Authorized Official - Last Name:NIRMEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD, FACS
Authorized Official - Phone:508-650-1022
Mailing Address - Street 1:10 UNION ST
Mailing Address - Street 2:
Mailing Address - City:NATICK
Mailing Address - State:MA
Mailing Address - Zip Code:01760-4759
Mailing Address - Country:US
Mailing Address - Phone:508-650-1022
Mailing Address - Fax:508-653-7420
Practice Address - Street 1:10 UNION ST
Practice Address - Street 2:
Practice Address - City:NATICK
Practice Address - State:MA
Practice Address - Zip Code:01760-4759
Practice Address - Country:US
Practice Address - Phone:508-650-1022
Practice Address - Fax:508-653-7420
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-21
Last Update Date:2014-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA50220174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0629600001Medicare NSC