Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 35069 | AL |
N | 207KA0200X | Allergist | 35069 | AL |
N | 207R00000X | Internist | ME113021 | FL |
N | 111NI0900X | Internist | ME113021 | FL |
NPI | 1720213838 |
---|---|
Provider Name | Dr. Njeri Maina |
First Address | Birmingham, AL 35209-6802 |
Second Address | Birmingham, AL 35209 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/05/2009 |
Last Update Date | 04/03/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
006107500 | (05) | FL |
14L3E | BCBS (01) | FL |
P10173441 | RR MEDICARE (01) |