Provider Demographics
NPI:1336886068
Name:MINERVA NEUROLOGICAL INSTITUTE, PLLC
Entity Type:Organization
Organization Name:MINERVA NEUROLOGICAL INSTITUTE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHAIRMAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ARUN
Authorized Official - Middle Name:KUMAR
Authorized Official - Last Name:SHERMA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-225-5745
Mailing Address - Street 1:21605 W 13 MILE RD
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48025-4805
Mailing Address - Country:US
Mailing Address - Phone:248-225-5745
Mailing Address - Fax:855-703-1986
Practice Address - Street 1:21605 W 13 MILE RD
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:MI
Practice Address - Zip Code:48025-4805
Practice Address - Country:US
Practice Address - Phone:248-225-5745
Practice Address - Fax:855-703-1986
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-15
Last Update Date:2022-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No2084A2900XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurocritical CareGroup - Multi-Specialty
No2084V0102XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyVascular NeurologyGroup - Multi-Specialty