Individual
KAMAL KHAN RAISANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
115 HARPER COURT, TUSCALOOSA, AL 35401
(205) 366-3010
(205) 366-3012
Mailing address
115 HARPER COURT, TUSCALOOSA, AL 35401
(205) 366-3010
(205) 366-3012
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
21461
AL
2084P0805X
Geriatric Psychiatry Physician
21461
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009954400
—
AL
Enumeration date
04/09/2008
Last updated
05/30/2023
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