Individual
DR. AGATHA I ASURU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2401 15TH AVE NORTH, BIRMINGHAM, AL 35234
(205) 841-7760
(205) 212-5610
Mailing address
P.O. BOX 11523, BIRMINGHAM, AL 35202-1523
(205) 212-5600
(205) 212-5610
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
00024812
AL
207R00000X
Internal Medicine Physician
Primary
24812
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009934073
—
AL
Enumeration date
05/28/2006
Last updated
03/30/2011
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