Provider Demographics
NPI:1396778072
Name:NEURODIAGNOSTIC ASSOCIATES PC
Entity type:Organization
Organization Name:NEURODIAGNOSTIC ASSOCIATES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:E
Authorized Official - Last Name:BATIPPS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:202-829-3726
Mailing Address - Street 1:106 IRVING STREET NW
Mailing Address - Street 2:SUITE 2600
Mailing Address - City:WASH
Mailing Address - State:DC
Mailing Address - Zip Code:20010-2997
Mailing Address - Country:US
Mailing Address - Phone:202-829-3726
Mailing Address - Fax:202-882-1468
Practice Address - Street 1:106 IRVING STREET NW
Practice Address - Street 2:SUITE 2600
Practice Address - City:WASH
Practice Address - State:DC
Practice Address - Zip Code:20010-2997
Practice Address - Country:US
Practice Address - Phone:202-829-3726
Practice Address - Fax:202-882-1468
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-08
Last Update Date:2007-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC9321OtherCARE FIRST
DC442885Medicare PIN