Active NPI
Neurological & Headache Disorders PC
- Specialist
- Kingman, AZ
National Provider Identifier
1184823320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 25814
- Legal business name
- NEUROLOGICAL & HEADACHE DISORDERS PC
- Practice address
- 1708 Sycamore Ave
Kingman, AZ 86409-0927 - Phone
- (928) 757-7100
- Fax
- (928) 757-7255
- NPI assigned
- Jul 17, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Munawar A Paracha, M.D.
- Title
- President
- Phone
- (928) 757-7100
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 25814 | AZ | Primary |
Addresses
Primary practice location
1708 Sycamore Ave
Kingman, AZ 86409-0927
Mailing address
1708 Sycamore Ave
Kingman, AZ 86409-0927
Phone (928) 757-7100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 430075 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1708 Sycamore Ave
Kingman, AZ 86409
Phone (928) 757-7100
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neurology Physician
- Kingman, AZ
- NPI 1912962549
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184630400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1536883200000",
"number": "1184823320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1708 SYCAMORE AVE",
"city": "KINGMAN",
"state": "AZ",
"postal_code": "864090927",
"telephone_number": "928-757-7100",
"fax_number": "928-757-7255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1708 SYCAMORE AVE",
"city": "KINGMAN",
"state": "AZ",
"postal_code": "864090927",
"telephone_number": "928-757-7100",
"fax_number": "928-757-7255"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEUROLOGICAL & HEADACHE DISORDERS PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-17",
"last_updated": "2018-09-14",
"status": "A",
"authorized_official_last_name": "PARACHA",
"authorized_official_first_name": "MUNAWAR",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "928-757-7100",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "AZ",
"license": "25814",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "430075",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kingman, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.