Individual
POHOEY FAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
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
207RC0000X
Cardiovascular Disease Physician
Primary
17727
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000084751
BLUE CROSS
AL
05
—
000084751
—
AL
01
—
00125001
MISSISSIPPI MEDICAID
MS
01
—
051103663
BLUE CROSS
AL
01
—
060035876
RAILROAD MEDICARE
AL
05
—
117246
—
AL
01
—
1593672
EMERGENCY LA MEDICAID
LA
05
—
927887925A
—
GA
01
—
F44326
VIVA
AL
Enumeration date
06/15/2006
Last updated
01/31/2024
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