# UNIVERSITY OF ALABAMA AT BIRMINGHAM

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023311644
- **Authorized official:** TAKUMI YAMADA M.D. (ASSISTANT PROFESSOR OF MEDICINE)
- **Authorized official phone:** (205) 975-2404

## Contact information

- **Practice address:** FOT 930, 1530 3RD AVE S, BIRMINGHAM, AL 35294-0019
- **Practice address phone:** (205) 975-2404
- **Mailing address:** FOT 930, 1530 3RD AVE S, BIRMINGHAM, AL 35294-0019
- **Mailing address phone:** (205) 975-2404

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | L.3392SP | AL | Yes |

## Other

- **Enumeration date:** 12/21/2010
- **Last updated:** 12/21/2010