Provider Demographics
NPI:1124356746
Name:COMPREHENSIVE NEUROLOGY SERVICES PLLC
Entity Type:Organization
Organization Name:COMPREHENSIVE NEUROLOGY SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:DINU
Authorized Official - Middle Name:
Authorized Official - Last Name:NODIT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:865-622-6545
Mailing Address - Street 1:5201 KINGSTON PIKE
Mailing Address - Street 2:SUITE 6-360
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37919-5026
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:10800 PARKSIDE DR
Practice Address - Street 2:SUITE 203
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37934-1922
Practice Address - Country:US
Practice Address - Phone:865-622-6545
Practice Address - Fax:865-622-6492
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-19
Last Update Date:2012-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN407282084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1801848205OtherNPI FOR DINU NODIT, M.D.
TN1801848205OtherNPI FOR DINU NODIT, M.D.