Individual
DR. CARMELO CABALU MENDIOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2202 JORDAN ROAD SW, SUITE 500, FORT PAYNE, AL 35968-3688
(256) 844-2825
(256) 844-2834
Mailing address
2202 JORDAN ROAD SW, SUITE 500, FORT PAYNE, AL 35968-3688
(256) 844-2825
(256) 844-2834
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
00017265
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051534925
—
AL
05
—
051557680
—
AL
01
—
510-03718
BCBS
AL
01
—
515-34925
BCBS
AL
05
—
541385603
—
AL
Enumeration date
05/23/2006
Last updated
01/27/2009
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