Doctor Name: | DR. ISAAC C RAVIZEE |
NPI Number: | 1053368639 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 08167 |
Business Practice Address: | 2006 Brookwood Medical Ctr Dr Wmp 710 Birmingham, AL - 352096899 |
Business Phone Number: | 2058701262 |
Business Fax Number: | 8708700588 |
Mailing Address: | 2006 Brookwood Medical Ctr Dr, Wmp 710 BIRMINGHAM |
State: | AL |
Postal Code: | 352096899 |
Phone Number: | 2058701262 |
Fax Number: | 8708700588 |
NPI Enumeration Date: | 05/28/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 08167 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |