Individual
AJMAL H BANGASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1850 BLUEGRASS AVE, LOUISVILLE, KY 40215-1161
(502) 895-2902
(502) 893-8867
Mailing address
100 E LIBERTY ST, SUITE 800, LOUISVILLE, KY 40202-1434
(502) 357-1039
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
01069859A
IN
2084N0400X
Neurology Physician
Primary
37006
KY
2084N0400X
Neurology Physician
K5794
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201076930
—
IN
05
—
64052194
—
KY
01
—
P00398493
RR MEDICARE
KY
Enumeration date
06/26/2006
Last updated
07/11/2016
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