Individual
VIGNESH HEBRI NAYAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 7TH AVE S, BIRMINGHAM, AL 35233-1711
(205) 638-9583
Mailing address
3340 STONEY BROOK TRL APT 203, FULTONDALE, AL 35068-2211
(850) 416-7658
(850) 416-7677
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
37190
AL
390200000X
Student in an Organized Health Care Education/Training Program
TRN 21829
FL
Other
Enumeration date
07/08/2015
Last updated
09/19/2018
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