Provider Demographics
NPI:1497183602
Name:JINDAL NEUROLOGY, INC.
Entity Type:Organization
Organization Name:JINDAL NEUROLOGY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JENELLE
Authorized Official - Middle Name:ASHA
Authorized Official - Last Name:JINDAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:408-913-9771
Mailing Address - Street 1:175 N JACKSON AVE
Mailing Address - Street 2:SUITE 207
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95116-1909
Mailing Address - Country:US
Mailing Address - Phone:408-913-9771
Mailing Address - Fax:888-971-2280
Practice Address - Street 1:175 N JACKSON AVE
Practice Address - Street 2:SUITE 207
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95116-1909
Practice Address - Country:US
Practice Address - Phone:408-913-9771
Practice Address - Fax:888-971-2280
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-24
Last Update Date:2015-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty