Provider Demographics
NPI:1306685227
Name:BANIGALA ASSOCIATES
Entity type:Organization
Organization Name:BANIGALA ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:IRFAN
Authorized Official - Middle Name:
Authorized Official - Last Name:AFAQ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:502-265-0491
Mailing Address - Street 1:3310 E 10TH ST # 365
Mailing Address - Street 2:
Mailing Address - City:JEFFERSONVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47130-7285
Mailing Address - Country:US
Mailing Address - Phone:502-265-0491
Mailing Address - Fax:502-805-0690
Practice Address - Street 1:2780 JEFFERSON CENTRE WAY UNIT 104
Practice Address - Street 2:
Practice Address - City:JEFFERSONVILLE
Practice Address - State:IN
Practice Address - Zip Code:47130-8293
Practice Address - Country:US
Practice Address - Phone:812-913-0913
Practice Address - Fax:502-805-0690
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-21
Last Update Date:2024-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty