Organization
CINCY SLEEP AND NEUROLOGY CENTERS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BASHAR BRIJAWI M.D. (MEDICAL DIRECTOR)
(513) 377-7860
Entity
Organization
Contact information
Practice address
3645 STONECREEK BLVD, SUITE E, CINCINNATI, OH 45251-1469
(513) 377-7860
(513) 923-2301
Mailing address
3645 STONECREEK BLVD, STE E, CINCINNATI, OH 45251-1469
(513) 377-7860
(513) 923-2301
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
35081770
OH
2084N0400X
Neurology Physician
36319
KY
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
35081770
OH
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
36319
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65940363
—
KY
01
—
DD1713
RR MEDICARE
OH
Enumeration date
07/22/2006
Last updated
04/07/2023
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