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Organization
MAMTA D SOMAIYA MD PC
Active
Organization
MAMTA D SOMAIYA MD PC
Active
Other names
VisionAmerica
Organization subpart
No
Provider details
NPI number
Authorized official
MAMTA D SOMAIYA M.D. (OWNER/PRESIDENT)
(205) 943-4650
Entity
Organization
Contact information
Practice address
250 STATE FARM PKWY, BIRMINGHAM, AL 35209-7181
(205) 943-4600
(205) 943-4688
Mailing address
250 STATE FARM PKWY, BIRMINGHAM, AL 35209-7181
(205) 943-4600
(205) 943-4688
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1265461305
—
AL
05
—
529928470
—
AL
01
—
DE5876
RR MEDICARE PGBA
AL
Enumeration date
07/01/2006
Last updated
06/11/2008
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