Individual
RAVEENDRAN MELETH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 19TH ST S, BIRMINGHAM, AL 35233-1927
(205) 933-8101
(205) 939-4583
Mailing address
1509 CYPRESS COVE CIR, HOOVER, AL 35244-8247
Taxonomy
Speciality
Code
Description
License number
State
261QV0200X
VA Clinic/Center
Primary
20540
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
013796
STATE LICENSE
ME
Enumeration date
09/26/2006
Last updated
07/08/2007
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