Provider Demographics
NPI:1891802922
Name:ELAWAR NEUROLOGY ASSOCIATES, INC.
Entity Type:Organization
Organization Name:ELAWAR NEUROLOGY ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MUNIR
Authorized Official - Middle Name:Y
Authorized Official - Last Name:ELAWAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:724-256-5305
Mailing Address - Street 1:480 E JEFFERSON ST STE C
Mailing Address - Street 2:
Mailing Address - City:BUTLER
Mailing Address - State:PA
Mailing Address - Zip Code:16001-4780
Mailing Address - Country:US
Mailing Address - Phone:724-256-5305
Mailing Address - Fax:724-315-0359
Practice Address - Street 1:480 E JEFFERSON ST STE C
Practice Address - Street 2:
Practice Address - City:BUTLER
Practice Address - State:PA
Practice Address - Zip Code:16001-4780
Practice Address - Country:US
Practice Address - Phone:724-256-5305
Practice Address - Fax:724-256-8115
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-24
Last Update Date:2022-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA080152Medicare ID - Type Unspecified