Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | MD.41363 | AL |
N | 2080P0208X | Pediatric Infectious Diseases | MD.41363 | AL |
NPI | 1427410760 |
---|---|
Provider Name | Linda Hassouneh |
First Address | Mobile, AL 36640-0480 |
Second Address | Mobile, AL 36604-1541 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/03/2016 |
Last Update Date | 19/01/2021 |