Provider Demographics
NPI:1568471548
Name:COHN, ALVIN B (MD)
Entity Type:Individual
Prefix:DR
First Name:ALVIN
Middle Name:B
Last Name:COHN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:AL
Other - Middle Name:
Other - Last Name:COHN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3127 BLUE LAKE DR
Mailing Address - Street 2:
Mailing Address - City:VESTAVIA
Mailing Address - State:AL
Mailing Address - Zip Code:35243-2305
Mailing Address - Country:US
Mailing Address - Phone:205-590-9900
Mailing Address - Fax:205-383-3112
Practice Address - Street 1:3127 BLUE LAKE DR
Practice Address - Street 2:
Practice Address - City:VESTAVIA
Practice Address - State:AL
Practice Address - Zip Code:35243-2305
Practice Address - Country:US
Practice Address - Phone:205-590-9900
Practice Address - Fax:205-383-3112
Is Sole Proprietor?:No
Enumeration Date:2006-08-07
Last Update Date:2022-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL27053208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL1568471548Medicaid
051558919Medicare PIN
I62561Medicare UPIN