Sunil  K  Goli    MD
Contract Details
Alabama Neurology
Facility name
Provider ID
P000000628
NPI
1124045083
Tax ID
631244795
Effective Date
1/1/1996
Last Updated
6/6/2014
Direct Contract
Yes
Term Date
11/14/2013
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
1022 1st Street North Suite 305
Alabaster, AL 35007
United States
County
Shelby
Phone
2056647852 (Phone)
Billing Details
Address
1022 1st Street North
Suite 305
Alabaster, AL 35007
Billing Phone
2056647852
Specialty Type
Neurology
Map
Address