MEDICARE: N & S NEUROLOGY CENTER, A MEDICAL GROUP, INC

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

General Provider Information

NPI Number	:	1508489071
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	N & S NEUROLOGY CENTER, A MEDICAL GROUP, INC

Provider Business Mailing Address
First Line	:	2407 E SUSSEX WAY STE 107
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93726-4035
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2407 E SUSSEX WAY STE 107
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93726-4035
Country	:	US
Telephone Number	:	559-244-0955
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	SANJAY J CHAUHAN
Credential	:	MD
Telephone Number	:	909-802-8869

Provider Enumeration Date	:	05/19/2020
Last Update Date	:	05/19/2020

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