Active NPI
Azar Sheikholeslami, M.D.
- Psychiatry Physician
- Huntsville, AL
National Provider Identifier
1366730277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- L.3462SI
- Practice address
- 4040 Memorial Pkwy SW
Huntsville, AL 35802-4364 - Phone
- (256) 533-1970
- Fax
- (256) 705-6477
- NPI assigned
- Jul 12, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | L.3462SI | AL | Primary |
Addresses
Primary practice location
4040 Memorial Pkwy SW
Huntsville, AL 35802-4364
Mailing address
725 E Coy Smith Hwy
P.O. Box 1090 (Mailing Address)
Mount Vernon, AL 36560-3322
Phone (251) 662-6700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L.3462SI | AL | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439769600000",
"number": "1366730277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "725 E COY SMITH HWY",
"address_2": "P.O. BOX 1090 (MAILING ADDRESS)",
"city": "MOUNT VERNON",
"state": "AL",
"postal_code": "365603322",
"telephone_number": "251-662-6700",
"fax_number": "251-662-6738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4040 MEMORIAL PKWY SW",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358024364",
"telephone_number": "256-533-1970",
"fax_number": "256-705-6477"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEIKHOLESLAMI",
"first_name": "AZAR",
"name_prefix": "Ms.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-12",
"last_updated": "2015-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "AL",
"license": "L.3462SI",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huntsville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.