Individual
MOHAMADALI S ELOUBEIDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
901 LEIGHTON AVE, SUITE 103, ANNISTON, AL 36207-5700
(256) 237-1001
(256) 237-0016
Mailing address
901 LEIGHTON AVE, SUITE103, ANNISTON, AL 36207-5700
(256) 237-1001
(256) 237-0016
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
23315
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000096170
BLUE CROSS
AL
01
—
08228085
MISSISSIPPI MEDICAID
MS
05
—
150378
—
AL
05
—
165429
—
AL
01
—
51153806
BLUE CROSS BLUE SHIELD
AL
01
—
H15386
VIVA
AL
Enumeration date
06/15/2006
Last updated
01/05/2022
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