Provider Demographics
NPI:1295828010
Name:BANU, SHIRIN (MD)
Entity Type:Individual
Prefix:
First Name:SHIRIN
Middle Name:
Last Name:BANU
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 1:1515 6TH AVE S
Mailing Address - Street 2:COOPER GREEN MERCY HOSPITAL
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35233-1601
Mailing Address - Country:US
Mailing Address - Phone:205-930-3245
Mailing Address - Fax:205-918-2328
Practice Address - Street 1:1515 6TH AVE S
Practice Address - Street 2:COOPER GREEN MERCY HOSPITAL
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35233-1601
Practice Address - Country:US
Practice Address - Phone:205-930-3245
Practice Address - Fax:205-918-2328
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2009-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL00025845207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease