Individual
DR. ROBERT E CHASAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
406 WOODWARD AVE, MUSCLE SHOALS, AL 35661-1542
(256) 386-7100
(256) 386-0937
Mailing address
2000A SOUTHBRIDGE PKWY, STE 300, BIRMINGHAM, AL 35209-7718
(205) 871-4274
(205) 871-4301
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
9013
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009998060
—
AL
05
—
148684
—
AL
01
—
511-33648
BLUE CROSS
AL
01
—
51507182CHA
BLUECROSS PROVIDER #
AL
01
—
631225938
AETNA
AL
Enumeration date
02/24/2006
Last updated
12/30/2015
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