Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 35257 | AL |
Y | 2080P0214X | Pediatric Pulmonologist | MD.35257 | AL |
NPI | 1255716973 |
---|---|
Provider Name | Dr. Anis Rabbani Nourani SR. |
First Address | Birmingham, AL 35233-1711 |
Second Address | Birmingham, AL 35233-1711 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/07/2015 |
Last Update Date | 06/03/2020 |