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Organization

ALABAMA ALLERGY & ASTHMA CARE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SHIVA S KRISHNA M.D. (PHYSICIAN/OWNER)
(256) 890-0311
Entity
Organization

Contact information

Practice address
101 WESTOVER CIR, SUITE C, MADISON, AL 35758-4900
(256) 890-0331
(256) 325-1189
Mailing address
101 WESTOVER CIR, SUITE C, MADISON, AL 35758-4900
(256) 890-0331
(256) 325-1189

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
00025205
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1952373805
NPI FOR SINGLE OFFICE
05
529928730
AL
Enumeration date
05/21/2008
Last updated
01/21/2016
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