Individual provider · NPI-1

Ajmal H Bangash, MD

Psychiatry & Neurology, Neurology · Louisville, KY

NPI number1669409702
StatusActive
Last updated in NPPESJul 11, 2016

Details

NPI
1669409702
Entity type
Individual (NPI-1)
Name
Ajmal H Bangash
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Jun 26, 2006
Last updated
Jul 11, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2084N0400X Psychiatry & Neurology, Neurology37006KYYes
2084N0400X Psychiatry & Neurology, NeurologyK5794TX
2084N0400X Psychiatry & Neurology, Neurology01069859AIN

Practice location

1850 Bluegrass Ave
Louisville, KY 40215-1161

Phone 502-895-2902 · Fax 502-893-8867

Mailing address

100 E Liberty St
Suite 800
Louisville, KY 40202-1434

Phone 502-357-1039

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Psychiatry & Neurology, Neurology providers in Louisville, KY