MEDICARE: NEW ORLEANS HEADACHE & NEUROLOGY CLINIC, APMC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084N0400X	Neurology Physician	05061R	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1124023700
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW ORLEANS HEADACHE & NEUROLOGY CLINIC, APMC

Provider Business Mailing Address
First Line	:	120 MEADOWCREST ST
Second Line	:	STE 420
City	:	GRETNA
State	:	LA
Zip	:	70056-5255
Country	:	US
Telephone Number	:	504-391-7547
Fax Number	:	504-391-7549

Provider Business Practice Location Address
First Line	:	120 MEADOWCREST ST
Second Line	:	STE 420
City	:	GRETNA
State	:	LA
Zip	:	70056-5255
Country	:	US
Telephone Number	:	504-391-7547
Fax Number	:	504-391-7549

Authorized Official
Title or Position	:	PRESIDENT OWNER
Name	:	DR. DHANPAT C MOHNOT
Credential	:	MD
Telephone Number	:	504-391-7547

Provider Enumeration Date	:	06/20/2005
Last Update Date	:	03/14/2008

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Directions to “NEW ORLEANS HEADACHE & NEUROLOGY CLINIC, APMC ” Practice Location

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