Basic Information
| Provider Information | |||||||||
| NPI: | 1083751374 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | RABBANI | ||||||||
| FirstName: | ADEEL | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D., M.P.H. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 150 DU RHU DR APT 1603 | ||||||||
| Address2: | |||||||||
| City: | MOBILE | ||||||||
| State: | AL | ||||||||
| PostalCode: | 366081243 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2514452834 | ||||||||
| FaxNumber: | 2514452834 | ||||||||
| Practice Location | |||||||||
| Address1: | 5750 A SOUTH LAND DR | ||||||||
| Address2: | MOBILE MENTAL HEALTH CENTER | ||||||||
| City: | MOBILE | ||||||||
| State: | AL | ||||||||
| PostalCode: | 36693 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2514734423 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 01/30/2007 | ||||||||
| LastUpdateDate: | 07/12/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2084P0804X | 27840 | AL | Y | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Child & Adolescent Psychiatry | 390200000X | DR-44386 | CO | N | Student, Health Care | Student in an Organized Health Care Education/Training Program |
No ID Information.