Organization
UAB FAMILY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRASANNA ALLADA MD (RESIDENT PHYSICIAN)
(256) 701-1435
Entity
Organization
Contact information
Practice address
301 GOVERNORS DR SW, HUNTSVILLE, AL 35801-5123
(256) 551-4631
Mailing address
301 GOVERNORS DR SW, HUNTSVILLE, AL 35801-5123
(256) 551-4631
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
L3441R
AL
Other
Enumeration date
06/18/2014
Last updated
06/18/2014
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