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Neurology Associates, P.C.

Details

Name: Neurology Associates, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 20 Apr 2009 (16 years ago)
Entity Number: 000-260-735
Register Number: 000260735
County: Madison
Place of Formation: Madison County
Principal Address: HUNTSVILLE, AL
Registered Office Street Address: 2350 WHITESBURG DRHUNTSVILLE, AL 35801
Registered Office Street Address ZIP Code: 35801
Authorized Capital: $1,000

Activities NEUROLOGICAL MEDICINE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1710121066 2009-04-29 2009-04-29 2350 WHITESBURG DR S, HUNTSVILLE, AL, 358013818, US 2350 WHITESBURG DR S, HUNTSVILLE, AL, 358013818, US

Contacts

Phone +1 256-258-0052
Fax 2566500093

Authorized person

Name DR. USHA NUTHI
Role OWNER
Phone 2562580052

Taxonomy

Taxonomy Code 2084N0400X - Neurology Physician
License Number 22841
State AL
Is Primary Yes

Other Provider Identifiers

Issuer BLUE CROSS BLUE SHIELD
Number 51002898
State AL
Issuer MEDICAID
Number 529931470
State AL

Agent

Name Role
NUTHI, USHA Agent

Incorporator

Name Role
NUTHI, USHA Incorporator

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State