Provider Demographics
NPI:1285935270
Name:BRAIN AND SPINE SURGICALS LLC
Entity type:Organization
Organization Name:BRAIN AND SPINE SURGICALS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NEUROPHYSIOLOGIST & IONM CONSULTANT
Authorized Official - Prefix:DR
Authorized Official - First Name:MUNI
Authorized Official - Middle Name:
Authorized Official - Last Name:SUBRAMANI
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:702-476-4326
Mailing Address - Street 1:PO BOX 371331
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89137-1331
Mailing Address - Country:US
Mailing Address - Phone:702-476-4326
Mailing Address - Fax:702-476-4326
Practice Address - Street 1:11700 W CHARLESTON BLVD
Practice Address - Street 2:#170-487
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89135
Practice Address - Country:US
Practice Address - Phone:702-482-7361
Practice Address - Fax:702-482-7361
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-08
Last Update Date:2015-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnosticGroup - Multi-Specialty
No246ZE0500XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherEEGGroup - Multi-Specialty
No246ZS0410XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical TechnologistGroup - Multi-Specialty