Individual
SHANTHA R KANNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1504 SPRING HILL AVE, MOBILE, AL 36604-3207
(251) 219-3906
(251) 219-3715
Mailing address
1504 SPRING HILL AVE, MOBILE, AL 36604-3207
(251) 219-3906
(251) 219-3715
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
00014312
AL
Other
Enumeration date
07/08/2006
Last updated
07/08/2007
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