Provider Demographics
NPI:1326100215
Name:CHILD NEUROLOGY & SEIZURE SPECIALISTS, PC
Entity Type:Organization
Organization Name:CHILD NEUROLOGY & SEIZURE SPECIALISTS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ASHRAF
Authorized Official - Middle Name:AHSAN
Authorized Official - Last Name:SYED
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:205-333-7075
Mailing Address - Street 1:2702 HOSPITAL DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:NORTHPORT
Mailing Address - State:AL
Mailing Address - Zip Code:35476-3376
Mailing Address - Country:US
Mailing Address - Phone:205-333-7075
Mailing Address - Fax:205-333-3256
Practice Address - Street 1:2702 HOSPITAL DR
Practice Address - Street 2:SUITE 200
Practice Address - City:NORTHPORT
Practice Address - State:AL
Practice Address - Zip Code:35476-3376
Practice Address - Country:US
Practice Address - Phone:205-333-7075
Practice Address - Fax:205-333-3256
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-15
Last Update Date:2014-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL17109174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL529902280Medicaid
AL529902280Medicaid