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Individual

AJMAL H BANGASH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

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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