Individual
ANIL KUMAR MAHAVADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
625 19TH ST S, BIRMINGHAM, AL 35233-1900
(205) 934-4793
Mailing address
625 19TH ST S, BIRMINGHAM, AL 35233-1900
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
MD.43432
AL
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/15/2020
Last updated
09/13/2024
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