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VIVID NEUROLOGY PC
NPI 1609489988
Psychiatry & Neurology - Neurology in Southfield, MI

Active since August 26, 2020
26400 W 12 MILE RD STE 20, SOUTHFIELD, MI 48034(248) 864-8752(248) 920-0744 Get Directions Write a Review

NPPES record last updated: August 26, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Vivid Neurology Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VIVID NEUROLOGY PC (NPI 1609489988) is a healthcare organization registered as a neurology in Southfield, Michigan and active in the NPI registry since August 2020. The organization lists Remonda Elyas, Manager, as its authorized official.

NPPES Registry Identity

NPI1609489988
Entity TypeOrganization
Primary Taxonomy2084N0400X
Legal Business NameVIVID NEUROLOGY PC
Location Address26400 W 12 MILE RD STE 20Southfield, MI 48034-1774
Mailing Address26400 W 12 Mile Rd Ste 20Southfield, MI 48034-1774 · (248) 864-8752 · Fax (248) 920-0744
Phone(248) 864-8752
Fax(248) 920-0744
Organization SubpartNo
Authorized OfficialRemonda ElyasManager · (248) 864-8752
Enumeration DateAugust 26, 2020
NPPES CertifiedAugust 26, 2020
✔ NPI 1609489988 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Definition
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.
26400 W 12 MILE RD STE 20, Southfield, MI 48034
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vivid Neurology PC's NPI number?

The NPI number for Vivid Neurology PC is 1609489988. It was assigned to this organization in the NPPES registry on August 26, 2020.

Where is Vivid Neurology PC located?

Vivid Neurology PC is located at 26400 W 12 Mile Rd Ste 20, Southfield, MI 48034. The listed phone number is (248) 864-8752.

What is Vivid Neurology PC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

When was this NPI record last updated?

The NPPES record for Vivid Neurology PC was last updated on August 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.