Individual
DR. PEGAH KANNAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
817 PRINCETON AVE SW STE 210, BIRMINGHAM, AL 35211-1348
(205) 783-3505
(205) 783-3508
Mailing address
PO BOX 11407, BIRMINGHAM, AL 35202-1407
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
45020
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/14/2021
Last updated
07/16/2024
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