Individual
DR. DANIEL MIRELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2022 BROOKWOOD MEDICAL CTR DR, SUITE 313 ACC, BIRMINGHAM, AL 35209-6808
(205) 877-2910
(205) 879-4649
Mailing address
2022 BROOKWOOD MEDICAL CTR DR, SUITE 313 ACC, BIRMINGHAM, AL 35209-6808
(205) 877-2910
(205) 879-4649
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
8570
AL
208C00000X
Colon & Rectal Surgery Physician
8570
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000001112
—
AL
01
—
1306805825
NPI
—
01
—
1922068774
GROUP NPI NUMBER
—
01
—
406283026
RAILROAD MEDICARE
AL
01
—
510-01112
BLUE CROSS BLUE SHIELD
AL
01
—
63-0677675
FEDERAL TAX ID
—
Enumeration date
03/22/2006
Last updated
10/23/2008
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