Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | DO0852 | AL |
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | 852 | AL |
NPI | 1255320941 |
---|---|
Provider Name | Sanjeev S Hasabnis |
First Address | Birmingham, AL 35243-2382 |
Second Address | Birmingham, AL 35243-2382 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/10/2005 |
Last Update Date | 21/01/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I05548 | (02) | AL |