Individual
LOUIS J DELL'ITALIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
619 19TH STREET SOUTH, BIRMINGHAM, AL 35233
(205) 934-6600
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
(205) 731-9701
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
14445
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000080582
BLUE CROSS
AL
05
—
000080582
—
AL
01
—
010026530
RAILROAD MEDICARE
AL
01
—
B22204
VIVA
AL
Enumeration date
06/14/2006
Last updated
07/15/2011
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