Individual
SOHAM DE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
619 19TH ST S # JT845, BIRMINGHAM, AL 35249-0877
(205) 934-4696
Mailing address
619 19TH ST S # JT804, BIRMINGHAM, AL 35249-6810
(205) 934-4696
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
95746
GA
207L00000X
Anesthesiology Physician
BP10063369
TX
207LP2900X
Pain Medicine (Anesthesiology) Physician
44110
AL
207LP2900X
Pain Medicine (Anesthesiology) Physician
95746
GA
Other
Enumeration date
04/17/2018
Last updated
04/02/2026
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