Jolly Neurological Clinic Pc in Wayne - Neurology
Jolly Neurological Clinic Pc - NPI 1407042922
Jolly Neurological Clinic Pc is a Neurology in Wayne, Michigan. Jolly Neurological Clinic Pc practices all healthcare services and medical treatments related to Neurology. The NPI Number for Jolly Neurological Clinic Pc is 1407042922. The last update date is 2009-04-07.
Jolly Neurological Clinic Pc's current location address is 4020 Venoy Rd, Wayne, Michigan. You can contact this provider via phone number 7347216001 and fax number 7347216003. The mailing address for Jolly Neurological Clinic Pc is 4020 Venoy Rd, Wayne, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jolly Neurological Clinic Pc |
|---|---|
| Address | 4020 Venoy Rd, Wayne, Michigan |
| Phone Number | 7347216001 |
| Fax Number | 7347216003 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Jolly Kumar Surindar |
| Credentials | M.D. |
| Telephone Number | 7347216001 |
NPI Number Detail
| NPI Number | 1407042922 |
|---|---|
| Provider Enumeration Date | 2007-09-18 |
| Last Updated Date | 2009-04-07 |
Provider Mailing Address Detail
| Address | 4020 Venoy Rd |
|---|---|
| City | Wayne |
| State | Michigan (MI) |
| Post Code | 481841869 |
| Phone Number | 7347216001 |
| Fax Number | 7347216003 |
Provider's Primary Taxonomy Detail
| Speciality | Neurology |
|---|---|
| Taxonomy | 2084N0400X |
| Licence No | SJ055782 |
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Definition: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 130H235340 | MI | BLUE CROSS BLUE SHIELD | |
| 2918602 | MI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Jolly Neurological Clinic Pc by the Centers for Medicare & Medicaid Services (CMS)?
The Jolly Neurological Clinic Pc has been assigned the NPI (National Provider Identifier) 1407042922. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Jolly Neurological Clinic Pc's facilities are situated?
The facilities of Jolly Neurological Clinic Pc are physically located at the following address: 4020 Venoy Rd, Wayne, MI, 481841869.
What is Jolly Neurological Clinic Pc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jolly Neurological Clinic Pc's specialized field of practice is Neurology, and the corresponding taxonomy code that categorizes this area of specialization is 2084N0400X.
When did the Jolly Neurological Clinic Pc receive its 1407042922?
The Jolly Neurological Clinic Pc was issued its 1407042922 on 2007-09-18, which is the date when the organization was assigned this unique identifier.
When was the information regarding Jolly Neurological Clinic Pc most recently updated?
The details pertaining to the Jolly Neurological Clinic Pc, including its address, specialty, and other relevant information, were last refreshed on 2009-04-07.