Individual
DR. SAI SHANKAR NAMBURU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1025 MEDICAL CENTER PKWY, SELMA, AL 36701-6780
(334) 875-8833
(334) 875-8843
Mailing address
1025 MEDICAL CENTER PKWY, SELMA, AL 36701-6780
(334) 875-8833
(334) 875-8843
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
00026752
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051531899
—
AL
Enumeration date
05/02/2006
Last updated
07/11/2019
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