MEDICARE: OHIO VALLEY NEUROLOGY ASSOCIATES

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	10507	WV

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1457396624
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OHIO VALLEY NEUROLOGY ASSOCIATES

Provider Business Mailing Address
First Line	:	3600 WEST ST
Second Line	:	SUITE 1
City	:	WEIRTON
State	:	WV
Zip	:	26062-4555
Country	:	US
Telephone Number	:	304-797-7333
Fax Number	:	304-797-7091

Provider Business Practice Location Address
First Line	:	3600 WEST ST
Second Line	:	SUITE 1
City	:	WEIRTON
State	:	WV
Zip	:	26062-4555
Country	:	US
Telephone Number	:	304-797-7333
Fax Number	:	304-797-7091

Authorized Official
Title or Position	:	OWNER
Name	:	DR. SARJIT SINGH
Credential	:	MD
Telephone Number	:	304-797-7333

Provider Enumeration Date	:	06/19/2006
Last Update Date	:	06/03/2008

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