Provider Demographics
NPI:1720039720
Name:GILANI, AJMAL MASOOD (MD)
Entity Type:Individual
Prefix:
First Name:AJMAL
Middle Name:MASOOD
Last Name:GILANI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:SYED
Other - Middle Name:AJMAL
Other - Last Name:MASOOD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:2000 PERIMETER PARK DR
Mailing Address - Street 2:STE 200
Mailing Address - City:MORRISVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27560-8442
Mailing Address - Country:US
Mailing Address - Phone:800-594-8624
Mailing Address - Fax:
Practice Address - Street 1:507 N BRIGHTLEAF BLVD STE 100
Practice Address - Street 2:
Practice Address - City:SMITHFIELD
Practice Address - State:NC
Practice Address - Zip Code:27577-4405
Practice Address - Country:US
Practice Address - Phone:919-934-3022
Practice Address - Fax:919-934-4133
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-14
Last Update Date:2021-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2002003632084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology