Healthcare Provider Details

I. General information

NPI: 1063863157
Provider Name (Legal Business Name): AMERICAN HEALTH RESEARCH INSTITUTE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2016
Last Update Date: 06/29/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 CAHABA PARK CIR
BIRMINGHAM AL
35242-5087
US

IV. Provider business mailing address

500 CAHABA PARK CIR
BIRMINGHAM AL
35242-5087
US

V. Phone/Fax

Practice location:
  • Phone: 205-980-9797
  • Fax: 205-980-4494
Mailing address:
  • Phone: 205-980-9797
  • Fax: 205-980-4494

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. AMRIK WALIA
Title or Position: ADMINISTRATOR
Credential: M.D.
Phone: 205-567-3833