Provider Demographics
NPI:1922279611
Name:NEUROCARE PSC
Entity Type:Organization
Organization Name:NEUROCARE PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:AJMAL
Authorized Official - Middle Name:H
Authorized Official - Last Name:BANGASH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:859-291-9100
Mailing Address - Street 1:5909 MOUNT PLEASANT DR
Mailing Address - Street 2:
Mailing Address - City:PROSPECT
Mailing Address - State:KY
Mailing Address - Zip Code:40059-7507
Mailing Address - Country:US
Mailing Address - Phone:859-291-9100
Mailing Address - Fax:859-291-9101
Practice Address - Street 1:5909 MOUNT PLEASANT DR
Practice Address - Street 2:
Practice Address - City:PROSPECT
Practice Address - State:KY
Practice Address - Zip Code:40059-7507
Practice Address - Country:US
Practice Address - Phone:859-291-9100
Practice Address - Fax:859-291-9101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-20
Last Update Date:2008-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty