Provider Demographics
NPI:1780686055
Name:ALIABADI, ZARRINTAJ (PA-C, PHD)
Entity Type:Individual
Prefix:DR
First Name:ZARRINTAJ
Middle Name:
Last Name:ALIABADI
Suffix:
Gender:F
Credentials:PA-C, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1504 SPRINGHILL AVE
Mailing Address - Street 2:STE 1365
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36604-3207
Mailing Address - Country:US
Mailing Address - Phone:251-405-9914
Mailing Address - Fax:251-405-5317
Practice Address - Street 1:1504 SPRINGHILL AVE
Practice Address - Street 2:STE 1365
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36604-3207
Practice Address - Country:US
Practice Address - Phone:251-405-9914
Practice Address - Fax:251-405-5317
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPA-155363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
7913608OtherAETNA
630477348034OtherTRICARE
7913608OtherAETNA