MEDICARE: DR. ADEEL RABBANI M.D., M.P.H.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0804X	Child & Adolescent Psychiatry Physician	27840	AL

General Provider Information

NPI Number	:	1083751374
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ADEEL RABBANI M.D., M.P.H.

Provider Business Mailing Address
First Line	:	2016 STONEGATE TRL STE 112
Second Line	:
City	:	VESTAVIA HLS
State	:	AL
Zip	:	35242-2249
Country	:	US
Telephone Number	:	205-440-6292
Fax Number	:	205-313-3177

Provider Business Practice Location Address
First Line	:	2016 STONEGATE TRL STE 112
Second Line	:
City	:	VESTAVIA HLS
State	:	AL
Zip	:	35242-2249
Country	:	US
Telephone Number	:	205-440-6292
Fax Number	:	205-313-3177

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/30/2007
Last Update Date	:	12/31/2024

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