Individual
KALYAN PRUDHVI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3690 GRANDVIEW PKWY, BIRMINGHAM, AL 35243-3326
(205) 971-1000
Mailing address
3104 BLUE LAKE DR STE 110, VESTAVIA, AL 35243-2372
(205) 977-1949
(205) 977-1933
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
42291
AL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
42291
AL
Other
Enumeration date
06/30/2011
Last updated
10/28/2024
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