Provider Demographics
NPI:1528350790
Name:NEUROLOGY INSTITUTE
Entity type:Organization
Organization Name:NEUROLOGY INSTITUTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MAJID
Authorized Official - Middle Name:
Authorized Official - Last Name:FOTUHI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-494-0191
Mailing Address - Street 1:1205 YORK RD
Mailing Address - Street 2:SUITE 18
Mailing Address - City:LUTHERVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21093-6210
Mailing Address - Country:US
Mailing Address - Phone:410-494-0191
Mailing Address - Fax:410-494-0259
Practice Address - Street 1:1205 YORK RD
Practice Address - Street 2:SUITE 18
Practice Address - City:LUTHERVILLE
Practice Address - State:MD
Practice Address - Zip Code:21093-6210
Practice Address - Country:US
Practice Address - Phone:410-494-0191
Practice Address - Fax:410-494-0259
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-06
Last Update Date:2011-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty