Provider Demographics
NPI:1639136211
Name:ISOBE, JAMES HAJIME (MD, FACS, RVT)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:HAJIME
Last Name:ISOBE
Suffix:
Gender:M
Credentials:MD, FACS, RVT
Other - Prefix:DR
Other - First Name:JAMES
Other - Middle Name:H
Other - Last Name:ISOBE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD, FACS, RVT
Mailing Address - Street 1:5295 PRESERVE PKWY
Mailing Address - Street 2:STE 270
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35244-4705
Mailing Address - Country:US
Mailing Address - Phone:205-823-0151
Mailing Address - Fax:205-823-5218
Practice Address - Street 1:700 MONTGOMERY HWY
Practice Address - Street 2:SUITE 210
Practice Address - City:VESTAVIA HILLS
Practice Address - State:AL
Practice Address - Zip Code:35216-1866
Practice Address - Country:US
Practice Address - Phone:205-823-0151
Practice Address - Fax:205-823-5218
Is Sole Proprietor?:No
Enumeration Date:2006-04-27
Last Update Date:2018-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL54712086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL051531756Medicare PIN
ALC70776Medicare UPIN