Individual
SUBRAMANIAM BALA SUNDAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1774 MCFARLAND BLVD N, TUSCALOOSA, AL 35406
(205) 759-2920
(205) 759-1344
Mailing address
2423 BRANDONWOOD RD, TUSCALOOSA, AL 35406
(205) 345-3685
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
11821
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051512201
—
AL
01
—
51512201
BCBS
AL
Enumeration date
06/04/2006
Last updated
01/20/2014
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