Provider Demographics
NPI:1902086598
Name:BOKHARI & BOKHARI, PLLC.
Entity Type:Organization
Organization Name:BOKHARI & BOKHARI, PLLC.
Other - Org Name:SPRINGHURST MEDICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/ PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:HAMMAD
Authorized Official - Middle Name:HAIDER
Authorized Official - Last Name:BOKHARI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:502-425-4666
Mailing Address - Street 1:3800 SPRINGHURST BLVD
Mailing Address - Street 2:SUITE B
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40241-6138
Mailing Address - Country:US
Mailing Address - Phone:502-425-4666
Mailing Address - Fax:502-425-3939
Practice Address - Street 1:3800 SPRINGHURST BLVD
Practice Address - Street 2:SUITE B
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40241-6138
Practice Address - Country:US
Practice Address - Phone:502-425-4666
Practice Address - Fax:502-425-3939
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-12
Last Update Date:2007-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY38271174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KYDA2673OtherRR MEDICARE
KY000000274705OtherANTHEM GROUP
KYDA2673OtherRR MEDICARE