MEDICARE: ARIZONA NEUROLOGICAL INSTITUTE, PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	174400000X	Specialist
2	208VP0000X	Pain Medicine Physician
3	208100000X	Physical Medicine & Rehabilitation Physician
4	2084N0400X	Neurology Physician

General Provider Information

NPI Number	:	1669540662
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARIZONA NEUROLOGICAL INSTITUTE, PC

Provider Business Mailing Address
First Line	:	10474 W THUNDERBIRD BLVD STE 200
Second Line	:
City	:	SUN CITY
State	:	AZ
Zip	:	85351-3015
Country	:	US
Telephone Number	:	623-972-3800
Fax Number	:	623-972-1089

Provider Business Practice Location Address
First Line	:	10474 W THUNDERBIRD BLVD
Second Line	:	SUITE200
City	:	SUN CITY
State	:	AZ
Zip	:	85351-3023
Country	:	US
Telephone Number	:	623-972-3800
Fax Number	:	623-972-1089

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ATUL SYAL
Credential	:	M.D.
Telephone Number	:	623-972-3800

Provider Enumeration Date	:	11/30/2006
Last Update Date	:	09/11/2014

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