Healthcare Provider Details

I. General information

NPI: 1427079375
Provider Name (Legal Business Name): DAWN A MORADI RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/23/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

956 MONTCLAIR RD SUITE 100
BIRMINGHAM AL
35213
US

IV. Provider business mailing address

956 MONTCLAIR RD SUITE 100
BIRMINGHAM AL
35213
US

V. Phone/Fax

Practice location:
  • Phone: 205-949-0099
  • Fax: 205-949-0363
Mailing address:
  • Phone: 205-949-0099
  • Fax: 205-949-0363

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number1050936
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: