Provider Demographics
NPI:1881831543
Name:NEUROLOGY AND SLEEP CENTER
Entity Type:Organization
Organization Name:NEUROLOGY AND SLEEP CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MOHAMMAD
Authorized Official - Middle Name:A
Authorized Official - Last Name:ZEIBO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:318-344-9099
Mailing Address - Street 1:211 4TH ST
Mailing Address - Street 2:BOX 30125
Mailing Address - City:ALEXANDRIA
Mailing Address - State:LA
Mailing Address - Zip Code:71301-8421
Mailing Address - Country:US
Mailing Address - Phone:318-484-3535
Mailing Address - Fax:318-484-3536
Practice Address - Street 1:301 4TH ST STE F
Practice Address - Street 2:MEDICAL TERRACE PARKING OFFICE
Practice Address - City:ALEXANDRIA
Practice Address - State:LA
Practice Address - Zip Code:71301-8423
Practice Address - Country:US
Practice Address - Phone:318-484-3535
Practice Address - Fax:318-484-3536
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-16
Last Update Date:2010-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAMD.2015052084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty