Individual
UTTAM PODDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4305 ATLANTA HWY, MONTGOMERY, AL 36109-3101
(334) 271-7051
(334) 271-7055
Mailing address
100 CAPITOL COMMERCE BLVD, BLDG A SUITE 250, MONTGOMERY, AL 36117-4260
(334) 358-3070
(334) 358-3080
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
24511
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009989205
ALABAMA MEDICAID
AL
Enumeration date
06/16/2006
Last updated
11/14/2011
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