Provider Demographics
NPI:1841092111
Name:COMPREHENSIVE NEUROLOGY INSTITUTE PLLC
Entity type:Organization
Organization Name:COMPREHENSIVE NEUROLOGY INSTITUTE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ATEF
Authorized Official - Middle Name:
Authorized Official - Last Name:KOKASH
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:915-256-1420
Mailing Address - Street 1:9463 HOLLY RD STE 104
Mailing Address - Street 2:
Mailing Address - City:GRAND BLANC
Mailing Address - State:MI
Mailing Address - Zip Code:48439-2557
Mailing Address - Country:US
Mailing Address - Phone:915-256-1420
Mailing Address - Fax:
Practice Address - Street 1:1111 N OLD WOODWARD AVE UNIT 5
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:MI
Practice Address - Zip Code:48009-5436
Practice Address - Country:US
Practice Address - Phone:915-256-1420
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-26
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty