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Organization

MY PSYCHIATRY CLINIC, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MOHAMMAD AMINUL ISLAM M.D. (CEO)
(205) 536-6555
Entity
Organization

Contact information

Practice address
2021 SHADY CREST DR. SUITE 100, HOOVER, AL 35216
(205) 536-6555
(980) 414-6282
Mailing address
2021 SHADY CREST DR. SUITE 100, HOOVER, AL 35216
(205) 536-6555
(980) 414-6282

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2084P0802X
Addiction Psychiatry Physician
2084P0804X
Child & Adolescent Psychiatry Physician
2084P0805X
Geriatric Psychiatry Physician

Other

Enumeration date
02/14/2020
Last updated
02/14/2020
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