Provider Demographics
NPI:1629718564
Name:CORPENING-TRAORE, MAIMOUNA ELLE (MD)
Entity Type:Individual
Prefix:
First Name:MAIMOUNA
Middle Name:ELLE
Last Name:CORPENING-TRAORE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MAIMOUNA
Other - Middle Name:ELLE
Other - Last Name:TRAORE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:625 19TH ST S
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35233-1900
Mailing Address - Country:US
Mailing Address - Phone:205-934-4793
Mailing Address - Fax:
Practice Address - Street 1:625 19TH ST S
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35233-1900
Practice Address - Country:US
Practice Address - Phone:205-934-4793
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-30
Last Update Date:2022-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program