Provider Demographics
NPI:1952382038
Name:MORRAR, NIDAL (MD)
Entity Type:Individual
Prefix:DR
First Name:NIDAL
Middle Name:
Last Name:MORRAR
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 1:1604 N MCKENZIE ST
Mailing Address - Street 2:
Mailing Address - City:FOLEY
Mailing Address - State:AL
Mailing Address - Zip Code:36535-2229
Mailing Address - Country:US
Mailing Address - Phone:251-955-1030
Mailing Address - Fax:251-955-5048
Practice Address - Street 1:1604 N MCKENZIE ST
Practice Address - Street 2:
Practice Address - City:FOLEY
Practice Address - State:AL
Practice Address - Zip Code:36535-2229
Practice Address - Country:US
Practice Address - Phone:251-955-1030
Practice Address - Fax:251-955-5048
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-07
Last Update Date:2022-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL26860207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL510-02293OtherBCBS
AL515-31947OtherBCBS AL
AL1952382038Medicaid
AL179579Medicaid
AL051556853Medicare PIN
AL515-31947OtherBCBS AL
ALP00334802Medicare PIN