Garland Neurological Clinic PA

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

GARLAND NEUROLOGICAL CLINIC PA

Practice address

315 N Shiloh Rd
Suite 103
Garland, TX 75042-6682

Phone

(972) 494-1100

Fax

(972) 494-4909

NPI assigned

Sep 29, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Mahmood S Akhavi, MD

Title

Owner, President

Phone

(972) 494-1100

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212364800000",
    "number": "1326130097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 N SHILOH RD",
            "address_2": "SUITE 103",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750426682",
            "telephone_number": "972-494-1100",
            "fax_number": "972-494-4909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 N SHILOH RD",
            "address_2": "SUITE 103",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750426682",
            "telephone_number": "972-494-1100",
            "fax_number": "972-494-4909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARLAND NEUROLOGICAL CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2008-06-02",
        "status": "A",
        "authorized_official_last_name": "AKHAVI",
        "authorized_official_first_name": "MAHMOOD",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER, PRESIDENT",
        "authorized_official_telephone_number": "972-494-1100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "172861001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Garland, TX
• Providers in Garland, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.