Kamal Khan Raisani, MD | |
115 Harper Court, Tuscaloosa, AL 35401 | |
(205) 366-3010 | |
(205) 366-3012 |
Full Name | Kamal Khan Raisani |
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Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 115 Harper Court, Tuscaloosa, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1396918546 | NPI | - | NPPES |
009954400 | Medicaid | AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | 21461 (Alabama) | Secondary |
2084P0800X | Psychiatry & Neurology - Psychiatry | 21461 (Alabama) | Primary |
Entity Name | State Of Alabama Dept Of Mental Health & Mental Retardation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619190998 PECOS PAC ID: 5698684090 Enrollment ID: O20031205000194 |
Mailing Address | Practice Location Address |
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Kamal Khan Raisani, MD 115 Harper Court, Tuscaloosa, AL 35401 Ph: (205) 366-3010 | Kamal Khan Raisani, MD 115 Harper Court, Tuscaloosa, AL 35401 Ph: (205) 366-3010 |
Aftab M Khan, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2201 Jack Warner Pkwy, Tuscaloosa, AL 35401 Phone: 205-343-9090 Fax: 205-860-6332 | |
Dr. Carlos Eugenio Berry, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 3701 Loop Rd, Tuscaloosa Va Medical Center, Tuscaloosa, AL 35404 Phone: 205-554-2822 | |
Dr. Patricia Diane Pilkinton, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 3701 Loop Road East, Tuscaloosa Va Medical Center, Tuscaloosa, AL 35404 Phone: 205-554-2822 Fax: 205-554-2894 | |
Aurora Payag Trabajo, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 200 University Blvd, Tuscaloosa, AL 35401 Phone: 205-759-0799 Fax: 205-759-0845 | |
Dr. Jonathan Josef Skonicki, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 3701 Loop Rd, Tuscaloosa Va Medical Center,, Tuscaloosa, AL 35404 Phone: 205-554-2000 | |
Madeleine Rachelle Moreno, MSN, PMHNP- BC (CRNP Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 750 Peter Bryce Blvd, Tuscaloosa, AL 35401 Phone: 205-348-6262 | |
Mohammad Aminul Islam, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 3701 Loop Road East, Tuscaloosa Va Medical Center, Tuscaloosa, AL 35404 Phone: 205-554-2000 |