Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 00023730 | AL |
NPI | 1043262736 |
---|---|
Provider Name | Sher M Ghori |
First Address | Dothan, AL 36301-3002 |
Second Address | Dothan, AL 36301-3002 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/05/2006 |
Last Update Date | 11/12/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000898851A | (05) | GA |
009949940 | (05) | AL |
51501438 | BCBS ALABAMA (01) | AL |
H11230 | (02) | AL |