Basic Information
| Provider Information | |||||||||
| NPI: | 1760893531 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | PIRVAN | ||||||||
| FirstName: | DANIEL | ||||||||
| MiddleName: | FLAVIUS | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 625 19TH STREET SOUTH | ||||||||
| Address2: | |||||||||
| City: | BIRMINGHAM | ||||||||
| State: | AL | ||||||||
| PostalCode: | 35249 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 625 19TH STREET SOUTH | ||||||||
| Address2: | |||||||||
| City: | BIRMINGHAM | ||||||||
| State: | AL | ||||||||
| PostalCode: | 35249 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3348754184 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/15/2014 | ||||||||
| LastUpdateDate: | 05/05/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 05/05/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208D00000X | 36134 | AL | N | Allopathic & Osteopathic Physicians | General Practice | 207P00000X | ME137055 | FL | Y | Allopathic & Osteopathic Physicians | Emergency Medicine | 207P00000X | 36134 | AL | N | Allopathic & Osteopathic Physicians | Emergency Medicine |
No ID Information.