Provider Demographics
NPI:1124079058
Name:NAGI, PETER
Entity type:Individual
Prefix:
First Name:PETER
Middle Name:
Last Name:NAGI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1717 6TH AVE S
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35233-1801
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1717 6TH AVE S
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35233-1801
Practice Address - Country:US
Practice Address - Phone:800-822-8816
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-15
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL23678207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALI53943OtherVIVA
AL009939881Medicaid
MS01779075Medicaid
AL051534789OtherBCBS OF AL
AL009937368Medicaid
AL051534790OtherBCBS OF AL
AL009937346Medicaid
AL009937367Medicaid
AL051534791OtherBCBS OF AL
AL051537627OtherBCBS OF AL
AL051534790OtherBCBS OF AL
AL009937346Medicaid