Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | MD.42926 | AL |
Y | 2080P0208X | Pediatric Infectious Diseases | MD.42926 | AL |
NPI | 1114302452 |
---|---|
Provider Name | Nour Hasan |
First Address | Birmingham, AL 35233-1711 |
Second Address | Birmingham, AL 35233-1711 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/07/2015 |
Last Update Date | 17/11/2021 |