Individual
VLADA GROYSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2290 VALLEYDALE RD, STE 204, HOOVER, AL 35244-2011
(205) 214-7546
Mailing address
2290 VALLEYDALE RD, STE 204, HOOVER, AL 35244-2011
(205) 214-7546
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
28104
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051049792
BCBS
AL
01
—
051101170
BCBS
AL
01
—
051599997
BCBS
AL
01
—
051599998
BCBS
AL
05
—
06552712
—
MS
05
—
112213
—
AL
05
—
112217
—
AL
05
—
112220
—
AL
05
—
115058
—
AL
01
—
P00812369
RAILROAD MEDICARE
AL
Enumeration date
05/09/2007
Last updated
02/27/2023
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