Individual
DR. CYRIAC JOSEPH MADATHIKUNNEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1013 MEDICAL CENTER PKWY, FRIST HOWELL BUILDING # 3, SELMA, AL 36701-6742
(334) 872-3339
(334) 872-6200
Mailing address
1013 MEDICAL CENTER PKWY, FRIST HOWELL BUILDING # 3, SELMA, AL 36701-6742
(334) 872-3339
(334) 872-6200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
00019370
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009915515
—
AL
Enumeration date
09/20/2006
Last updated
07/08/2007
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