MEDICARE: NEURO CONSULTANTS INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084N0400X	Neurology Physician

General Provider Information

NPI Number	:	1598588675
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEURO CONSULTANTS INC

Provider Business Mailing Address
First Line	:	PO BOX 569
Second Line	:
City	:	LAWRENCEVILLE
State	:	GA
Zip	:	30046-0569
Country	:	US
Telephone Number	:	770-678-7024
Fax Number	:	770-678-7025

Provider Business Practice Location Address
First Line	:	2009 LAWRENCEVILLE SUWANEE RD STE 100
Second Line	:
City	:	SUWANEE
State	:	GA
Zip	:	30024-2612
Country	:	US
Telephone Number	:	770-678-7024
Fax Number	:	770-678-7025

Authorized Official
Title or Position	:	OWNER/MD
Name	:	RIZWAN BASHIR
Credential	:	MD
Telephone Number	:	770-678-7024

Provider Enumeration Date	:	11/06/2024
Last Update Date	:	01/06/2025

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