Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207KA0200X | Allergist | 22377 | AL |
N | 207R00000X | Internist | 22377 | AL |
N | 111NI0900X | Internist | 22377 | AL |
Y | 207RI0200X | Infectious Disease | 22377 | AL |
NPI | 1447205950 |
---|---|
Provider Name | Mr. Ashok Jagani |
First Address | Northport, AL 35476-3397 |
Second Address | Northport, AL 35476-3397 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2006 |
Last Update Date | 24/10/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000096682 | (05) | AL |
631252695 | CIGNA/FIRST HEALTHCARE (01) | AL |
G98775 | (02) | AL |