Healthcare Provider Details

I. General information

NPI: 1740983089
Provider Name (Legal Business Name): ALINA FARAH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/24/2023
Last Update Date: 10/11/2023
Certification Date: 10/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 CENTER ST # 2N
MOBILE AL
36604-1541
US

IV. Provider business mailing address

1601 CENTER ST # 2N
MOBILE AL
36604-1541
US

V. Phone/Fax

Practice location:
  • Phone: 251-434-3475
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberL.5971R
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: