Individual
ALI REZAEI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
JT N419 619 20 TH STREET SOUTH, BIRMINGHAM, AL 35249-0001
(205) 934-3144
(205) 975-9262
Mailing address
JT N419 619 20 TH STREET SOUTH, BIRMINGHAM, AL 35249-0001
(205) 934-3144
(205) 975-9262
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
L.5622R
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/02/2022
Last updated
07/25/2023
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