Provider Demographics
NPI:1326855164
Name:COMPREHENSIVE NEUROLOGY SERVICES, P.A.
Entity type:Organization
Organization Name:COMPREHENSIVE NEUROLOGY SERVICES, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SHAHID
Authorized Official - Middle Name:
Authorized Official - Last Name:RAFIQ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-566-3130
Mailing Address - Street 1:196 THOMAS JOHNSON DR STE 120
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21702-4521
Mailing Address - Country:US
Mailing Address - Phone:240-566-3130
Mailing Address - Fax:866-437-5703
Practice Address - Street 1:10301 GEORGIA AVE STE 206
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20902-5020
Practice Address - Country:US
Practice Address - Phone:301-363-4370
Practice Address - Fax:866-437-5703
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-16
Last Update Date:2024-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty