Provider Demographics
NPI:1467258921
Name:MOMIN, SIBTAINZEHRA (MD)
Entity type:Individual
Prefix:
First Name:SIBTAINZEHRA
Middle Name:
Last Name:MOMIN
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4210 PAXTON PL
Mailing Address - Street 2:
Mailing Address - City:VESTAVIA
Mailing Address - State:AL
Mailing Address - Zip Code:35242-7468
Mailing Address - Country:US
Mailing Address - Phone:205-613-1787
Mailing Address - Fax:
Practice Address - Street 1:4210 PAXTON PL
Practice Address - Street 2:
Practice Address - City:VESTAVIA
Practice Address - State:AL
Practice Address - Zip Code:35242-7468
Practice Address - Country:US
Practice Address - Phone:205-613-1787
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-24
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach