Individual
IVAN ANDRES MORALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2006 FRANKLIN ST SE STE 200, HUNTSVILLE, AL 35801-4537
(256) 539-0457
(256) 539-5827
Mailing address
2006 FRANKLIN ST SE STE 200, HUNTSVILLE, AL 35801-4537
(256) 539-0457
(256) 539-5827
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
38927
AL
2085R0204X
Vascular & Interventional Radiology Physician
Primary
38927
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
330910
—
AL
05
—
330914
—
AL
05
—
331037
—
AL
05
—
331051
—
AL
05
—
331091
—
AL
05
—
331181
—
AL
05
—
331192
—
AL
05
—
331227
—
AL
05
—
331231
—
AL
05
—
331236
—
AL
05
—
331400
—
AL
05
—
331426
—
AL
05
—
331440
—
AL
05
—
331534
—
AL
05
—
331842
—
AL
05
—
332930
—
AL
Enumeration date
06/08/2018
Last updated
07/02/2024
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