Provider Demographics
NPI:1245986470
Name:AMERI NEUROSURGICAL SERVICES LLC
Entity type:Organization
Organization Name:AMERI NEUROSURGICAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SHAPUR
Authorized Official - Middle Name:
Authorized Official - Last Name:AMERI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:781-729-0105
Mailing Address - Street 1:955 MAIN ST STE 305
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01890-4303
Mailing Address - Country:US
Mailing Address - Phone:781-729-0105
Mailing Address - Fax:781-729-0125
Practice Address - Street 1:955 MAIN ST STE 305
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:MA
Practice Address - Zip Code:01890-4303
Practice Address - Country:US
Practice Address - Phone:781-729-0105
Practice Address - Fax:781-729-0125
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SHAPUR A. AMERI NEUROSURGERY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-02-25
Last Update Date:2022-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Single Specialty