Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2084N0400X | Neurologist | 35081770 | OH |
N | 2084N0400X | Neurologist | 36319 | KY |
NPI | 1033198171 |
---|---|
Provider Name | Bashar Brijawi |
First Address | Cincinnati, OH 45211-1105 |
Second Address | Cincinnati, OH 45211-1109 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/01/2006 |
Last Update Date | 17/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000309964 | ANTHEM (01) | OH |
00212115 | RR MEDICARE (01) | OH |
2344305 | (05) | OH |
64047111 | (05) | KY |
H58190 | (02) |