Just Kidz Medical LLC

Organization Active NPI Pediatric Adolescent Medicine Physician · Mobile, AL

NPI 1285960674 · NPPES record last updated Dec 8, 2011

Key facts

NPI
1285960674
Entity type
Organization (NPI type 2)
Primary specialty
Pediatric Adolescent Medicine Physician 2080A0000X
License
16971 (AL)
Legal business name
JUST KIDZ MEDICAL LLC
Practice address
5466 Old Shell Rd
Ste. a
Mobile, AL 36608-3046
Phone
(251) 382-1878
Fax
(888) 229-2558
NPI assigned
Oct 20, 2009
Organization subpart
No

Authorized official

Name
Nasir Ahmed Awan
Title
Member
Phone
(251) 382-1878

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

5466 Old Shell Rd
#A
Mobile, AL 36608
Phone (251) 382-1878

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP
2080A0000X 16971 AL Yes

Addresses

Primary practice location

5466 Old Shell Rd
Ste. a
Mobile, AL 36608-3046

Mailing address

PO Box 82229
Mobile, AL 36689-2229
Phone (251) 382-1878

Other providers in Mobile, AL

All providers in Mobile, AL · Pediatric Adolescent Medicine Physician in Alabama

Sources for this page

Verify at the official NPI Registry.