Nasrollah    Eslami    MD
Contract Details
Neurology-Neurodiagnostic Lab
Facility name
Provider ID
P000000507
NPI
1235147232
Tax ID
752986640
Effective Date
6/24/1996
Last Updated
2/19/2015
Direct Contract
Status
Active
Contract Discounts
Discount Type
F
Fee Schedule Name
103.00
Fee Schedule Multiplier
Location Details
Address
1004 1st Street North Suite 330
Alabaster, AL 35007
United States
County
Shelby
Phone
2056642967 (Phone)
Billing Details
Address
1004 1st Street North
Suite 330
Alabaster, AL 35007
Billing Phone
Specialty Type
Neurology
Map
Address