Individual
AJAY TADEPALLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
809 UNIVERSITY BLVD E, TUSCALOOSA, AL 35401-2029
(516) 734-8900
Mailing address
1660 ARBORWAY CIR, TUSCALOOSA, AL 35405-6547
(516) 734-8900
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
261854
NY
207RH0003X
Hematology & Oncology Physician
33413
AL
207RX0202X
Medical Oncology Physician
Primary
78917
GA
Other
Enumeration date
06/17/2011
Last updated
10/23/2023
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