Healthcare Provider Details

I. General information

NPI: 1871038661
Provider Name (Legal Business Name): VERTEBRAL NEUROMONITORING ASSOCIATES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/03/2017
Last Update Date: 01/03/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7820 PARAGON CIR # 113
ELKRIDGE MD
21075-6546
US

IV. Provider business mailing address

7820 PARAGON CIR # 113
ELKRIDGE MD
21075-6546
US

V. Phone/Fax

Practice location:
  • Phone: 303-922-4636
  • Fax: 303-922-4640
Mailing address:
  • Phone: 303-922-4636
  • Fax: 303-922-4640

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246ZE0600X
TaxonomyElectroneurodiagnostic Specialist/Technologist
License Number
License Number State

VIII. Authorized Official

Name: ASIF SATTAR
Title or Position: CEO
Credential: MD, CNIM
Phone: 303-922-4636