Individual
MICHAEL J PASSARELLA
Active
Individual
MICHAEL J PASSARELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
26409
AL
207RG0100X
Gastroenterology Physician
Primary
26409
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051004346
BLUE CROSS BLUE SHIELD AL
AL
01
—
051108906
BCBS
AL
01
—
051108907
BCBS
AL
01
—
051108908
BCBS
AL
05
—
051558055
—
AL
05
—
08820089
—
MS
05
—
121772
—
AL
05
—
121773
—
AL
05
—
121774
—
AL
01
—
P00386635
RAILRAOD MEDICARE
AL
Enumeration date
09/21/2006
Last updated
01/20/2022
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