Individual
MR. HISHAM A BA'ALBAKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
201 E DR HICKS BLVD, FLORENCE, AL 35630-5767
(256) 766-8570
(256) 766-5183
Mailing address
201 E DR HICKS BLVD, FLORENCE, AL 35630-5767
(256) 766-8570
(256) 766-5183
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
15196
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000083040
—
AL
05
—
00115631
—
MS
01
—
051083040
BCBS AL
AL
01
—
060037833
PALMETTO GBA RR MEDICARE
—
01
—
2510156
UNITED HEALTHCARE
—
01
—
30106466
BCBS TN
TN
05
—
4013718
—
TN
01
—
51519601
HEALTHSPRING OF AL
—
01
—
51591202
BCBS
AL
01
—
51591203
BCBS
AL
01
—
51591403
BCBS
AL
Enumeration date
12/15/2006
Last updated
10/30/2012
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