Provider Demographics
NPI:1942993043
Name:VASCULAR NEUROSCIENCES INSTITUTE OF FARWEST INC
Entity Type:Organization
Organization Name:VASCULAR NEUROSCIENCES INSTITUTE OF FARWEST INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MUHAMMAD
Authorized Official - Middle Name:
Authorized Official - Last Name:TAQI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:760-423-3942
Mailing Address - Street 1:2190 LYNN RD STE 350
Mailing Address - Street 2:
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91360-8028
Mailing Address - Country:US
Mailing Address - Phone:805-242-4884
Mailing Address - Fax:
Practice Address - Street 1:2190 LYNN RD STE 380
Practice Address - Street 2:
Practice Address - City:THOUSAND OAKS
Practice Address - State:CA
Practice Address - Zip Code:91360-8029
Practice Address - Country:US
Practice Address - Phone:805-242-4884
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-02
Last Update Date:2023-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084A2900XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurocritical CareGroup - Multi-Specialty