A SHATLA NEUROLOGY LLC NPI 1649339318

NPI Information

  • NPI: 1649339318
  • Provider Name: A SHATLA NEUROLOGY LLC
  • Classification: Psychiatry & Neurology - 2084N0400X
  • Specialization: Neurology
  • Entity Type: Organization
  • Address: 210 OLD CAMPION RD
    NEW HARTFORD, NY
    ZIP 13413
  • Phone: (315) 266-2078

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NPI Details

A SHATLA NEUROLOGY LLC is a neurology psychiatry neurology in New Hartford, NY. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. A SHATLA NEUROLOGY LLC NPI is 1649339318. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

210 OLD CAMPION RD
NEW HARTFORD, NY
ZIP 13413
Phone: (315) 266-2078
Fax: (315) 735-3910

The provider's authorized official is Ahmed Abdelhady Shatla .
The authorized official title is Doctor Owner and has the following contact phone number (315) 266-2078.

The enumeration date for this NPI number is 12/8/2006 and was last updated on 6/1/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084N0400XPsychiatry & NeurologyNeurology214256NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1CC6570MEDICARE ID-TYPE UNSPECIFIED
202155131MEDICAIDNEW YORK
3H40159MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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