Healthcare Provider Details

I. General information

NPI: 1689629602
Provider Name (Legal Business Name): AASIM S. SEHBAI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/24/2006
Last Update Date: 11/20/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

171 TOWN CENTER DR, SUITE 6
ANNISTON AL
36205
US

IV. Provider business mailing address

1400 AFFLINK PL STE 101
TUSCALOOSA AL
35406-2289
US

V. Phone/Fax

Practice location:
  • Phone: 256-847-3369
  • Fax: 256-847-3469
Mailing address:
  • Phone: 205-366-9740
  • Fax: 205-344-9992

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberC1-0008513
License Number StateDE
# 2
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number21561
License Number StateWV
# 3
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberMD.34567
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: