Provider Demographics
NPI:1689629602
Name:SEHBAI, AASIM S (MD)
Entity Type:Individual
Prefix:
First Name:AASIM
Middle Name:S
Last Name:SEHBAI
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 1:1400 AFFLINK PL STE 101
Mailing Address - Street 2:
Mailing Address - City:TUSCALOOSA
Mailing Address - State:AL
Mailing Address - Zip Code:35406-2289
Mailing Address - Country:US
Mailing Address - Phone:205-366-9740
Mailing Address - Fax:205-344-9992
Practice Address - Street 1:171 TOWN CENTER DR,
Practice Address - Street 2:SUITE 6
Practice Address - City:ANNISTON
Practice Address - State:AL
Practice Address - Zip Code:36205
Practice Address - Country:US
Practice Address - Phone:256-847-3369
Practice Address - Fax:256-847-3469
Is Sole Proprietor?:No
Enumeration Date:2006-05-24
Last Update Date:2018-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC1-0008513207RH0003X
WV21561207RH0003X
ALMD.34567207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2655907Medicaid
001840947OtherMOUNTAIN STATE BCBS
21561OtherHEALTH PLAN OF UPPER OH V
WV55035705700OtherWV COMPENSATION
411121OtherUPMC
WV7356431Medicare ID - Type Unspecified