Provider Demographics
NPI:1023677168
Name:APOLLO MEDICAL CENTER PLLC
Entity type:Organization
Organization Name:APOLLO MEDICAL CENTER PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:DR
Authorized Official - First Name:NEERAJ
Authorized Official - Middle Name:
Authorized Official - Last Name:BHARANY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:501-625-3334
Mailing Address - Street 1:111 CORDOBA CENTER DR
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS VILLAGE
Mailing Address - State:AR
Mailing Address - Zip Code:71909-4093
Mailing Address - Country:US
Mailing Address - Phone:501-625-3334
Mailing Address - Fax:501-625-7770
Practice Address - Street 1:111 CORDOBA CENTER DR
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS VILLAGE
Practice Address - State:AR
Practice Address - Zip Code:71909-4093
Practice Address - Country:US
Practice Address - Phone:501-625-3334
Practice Address - Fax:501-625-7770
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-12
Last Update Date:2019-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty