Provider Demographics
NPI:1700831047
Name:ALIABADI, DARIUS G (MD)
Entity Type:Individual
Prefix:DR
First Name:DARIUS
Middle Name:G
Last Name:ALIABADI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1118 ROSS CLARK CIR
Mailing Address - Street 2:SUITE 403
Mailing Address - City:DOTHAN
Mailing Address - State:AL
Mailing Address - Zip Code:36301-3001
Mailing Address - Country:US
Mailing Address - Phone:334-793-5672
Mailing Address - Fax:334-794-0378
Practice Address - Street 1:1118 ROSS CLARK CIR
Practice Address - Street 2:SUITE 403
Practice Address - City:DOTHAN
Practice Address - State:AL
Practice Address - Zip Code:36301-3001
Practice Address - Country:US
Practice Address - Phone:334-793-5672
Practice Address - Fax:334-794-0378
Is Sole Proprietor?:No
Enumeration Date:2006-05-24
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL20757207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL32555 PMDOtherBCBS OF AL # & TYPE
ALG18088Medicare UPIN