Provider Demographics
NPI:1235147232
Name:ESLAMI, NASROLLAH (MD)
Entity Type:Individual
Prefix:
First Name:NASROLLAH
Middle Name:
Last Name:ESLAMI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1004 1ST ST NORTH
Mailing Address - Street 2:STE 330
Mailing Address - City:ALABASTER
Mailing Address - State:AL
Mailing Address - Zip Code:35007
Mailing Address - Country:US
Mailing Address - Phone:205-664-2967
Mailing Address - Fax:205-664-9689
Practice Address - Street 1:1004 1ST ST N
Practice Address - Street 2:STE 330
Practice Address - City:ALABASTER
Practice Address - State:AL
Practice Address - Zip Code:35007-8766
Practice Address - Country:US
Practice Address - Phone:205-664-2967
Practice Address - Fax:205-664-9689
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2009-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL90982084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL130024556OtherRAILROAD MEDICARE
AL009943185Medicaid
AL51519562ESLOtherBLUE CROSS BLUE SHIELD
AL009943185Medicaid
C74431Medicare UPIN