Innervate Neurophysiology

NPI #1134666159 in Baltimore, Maryland

Provider Information

NPI Number: 1134666159
Entity Type: Organization
Organization Name: Innervate Neurophysiology
Primary Specialty: Psychiatry & Neurology - Clinical Neurophysiology
Enumeration Date: Jan 28, 2017
Last Updated: Jan 28, 2017

Practice Location

Address: 6400 BALTIMORE NATIONAL PIKE
Address 2: #348
City: Baltimore
State: Maryland
ZIP Code: 21228-3930
Phone: (202) 670-8843

Authorized Official

Name: JAMES SILVA
Title: PRINCIPAL
Phone: (202) 670-8843

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychiatry & Neurology - Neurology — Neurology	2084N0400X
Psychiatry & Neurology - Sleep Medicine — Sleep Medicine	2084S0012X
Psychiatry & Neurology - Vascular Neurology — Vascular Neurology	2084V0102X
Specialist/Technologist, Other	246Z00000X
Specialist/Technologist, Other - Electroneurodiagnostic — Electroneurodiagnostic	246ZE0600X
Specialist/Technologist, Other - Surgical Technologist — Surgical Technologist	246ZS0410X
Psychiatry & Neurology - Clinical Neurophysiology — Clinical Neurophysiology	2084N0600X	Primary

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