Healthcare Provider Details

I. General information

NPI: 1083751374
Provider Name (Legal Business Name): ADEEL RABBANI M.D., M.P.H.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/30/2007
Last Update Date: 12/31/2024
Certification Date: 12/31/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2016 STONEGATE TRL STE 112
VESTAVIA HLS AL
35242-2249
US

IV. Provider business mailing address

2016 STONEGATE TRL STE 112
VESTAVIA HLS AL
35242-2249
US

V. Phone/Fax

Practice location:
  • Phone: 205-440-6292
  • Fax: 205-313-3177
Mailing address:
  • Phone: 205-440-6292
  • Fax: 205-313-3177

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number27840
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: