Provider Demographics
NPI:1407272354
Name:HEADACHE AND NEUROLOGICAL CARE CENTER PC
Entity Type:Organization
Organization Name:HEADACHE AND NEUROLOGICAL CARE CENTER PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NILANEE
Authorized Official - Middle Name:A
Authorized Official - Last Name:KARIKARAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:678-395-3289
Mailing Address - Street 1:2138 SCENIC HIGHWAY
Mailing Address - Street 2:SUITE - E
Mailing Address - City:SNELLVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30078-6106
Mailing Address - Country:US
Mailing Address - Phone:678-395-3289
Mailing Address - Fax:678-395-3353
Practice Address - Street 1:2138 SCENIC HIGHWAY
Practice Address - Street 2:SUITE - E
Practice Address - City:SNELLVILLE
Practice Address - State:GA
Practice Address - Zip Code:30078-6106
Practice Address - Country:US
Practice Address - Phone:678-395-3289
Practice Address - Fax:678-395-3353
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-14
Last Update Date:2014-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA578722084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty