Individual
EMILY ANN BOOHAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
619 19TH STREET SOUTH, BIRMINGHAM, AL 35233
(205) 934-6600
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
(205) 731-9701
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
19549
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000036225
BLUE CROSS
AL
05
—
000036225
—
AL
05
—
000046615
—
AL
01
—
00046615
BLUE CROSS
AL
01
—
010054253
RAILROAD MEDICARE
AL
01
—
10661
HEALTHSPRING
AL
01
—
E85106
VIVA
AL
Enumeration date
05/30/2006
Last updated
01/31/2024
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