Individual
DR. DIBYAJIBAN MAHAPATRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
185 WHITESPORT DR SW, SUITE - 7, HUNTSVILLE, AL 35801-6486
(256) 883-6966
(256) 883-6432
Mailing address
185 WHITESPORT DR SW, SUITE - 7, HUNTSVILLE, AL 35801-6486
(256) 883-6966
(256) 883-6432
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
20939
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051507491
BCBS OF ALABAMA
AL
05
—
051507491
—
AL
Enumeration date
09/05/2005
Last updated
09/09/2008
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