Provider Demographics
NPI:1083751374
Name:RABBANI, ADEEL (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:ADEEL
Middle Name:
Last Name:RABBANI
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 DU RHU DR APT 1603
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36608-1243
Mailing Address - Country:US
Mailing Address - Phone:251-445-2834
Mailing Address - Fax:251-445-2834
Practice Address - Street 1:5750 A SOUTH LAND DR
Practice Address - Street 2:MOBILE MENTAL HEALTH CENTER
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36693
Practice Address - Country:US
Practice Address - Phone:251-473-4423
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2007-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL278402084P0804X
CODR-44386390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program