Basic Information
| Provider Information | |||||||||
| NPI: | 1619265840 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ALMANNAI | ||||||||
| FirstName: | MOHAMMED | ||||||||
| MiddleName: | ALI | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1504 SPRINGHILL AVE | ||||||||
| Address2: | CHILDREN'S MEDICAL CENTER | ||||||||
| City: | MOBILE | ||||||||
| State: | AL | ||||||||
| PostalCode: | 366043207 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2514343915 | ||||||||
| FaxNumber: | 2514343802 | ||||||||
| Practice Location | |||||||||
| Address1: | 1504 SPRINGHILL AVE | ||||||||
| Address2: | CHILDREN'S MEDICAL CENTER | ||||||||
| City: | MOBILE | ||||||||
| State: | AL | ||||||||
| PostalCode: | 366043207 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2514343915 | ||||||||
| FaxNumber: | 2514343802 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/21/2011 | ||||||||
| LastUpdateDate: | 12/11/2012 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 390200000X | N | Student, Health Care | Student in an Organized Health Care Education/Training Program | 208000000X | L.3513R | AL | Y | Allopathic & Osteopathic Physicians | Pediatrics |
No ID Information.