Provider Demographics
NPI:1063444503
Name:SIMON-LEE, ANABELA A (MD)
Entity Type:Individual
Prefix:
First Name:ANABELA
Middle Name:A
Last Name:SIMON-LEE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4000 BUTLER SPRINGS PL
Mailing Address - Street 2:
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35226-6241
Mailing Address - Country:US
Mailing Address - Phone:205-599-3500
Mailing Address - Fax:205-877-5021
Practice Address - Street 1:2022 BROOKWOOD MEDICAL CTR DR STE 403
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35209-6807
Practice Address - Country:US
Practice Address - Phone:205-721-2777
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2020-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA228018207RC0000X
AL29513207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL110801Medicaid
AL29513OtherLICENSE
102I065613Medicare PIN