Individual
DANIEL M. INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 SIVLEY RD SW, HUNTSVILLE, AL 35801-4421
(256) 265-9889
Mailing address
712 UPPER HURRICANE RD, NEW MARKET, AL 35761-7623
(256) 379-3074
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD.27361
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009939752
—
AL
05
—
009940214
—
AL
01
—
051003734
BCBS
AL
01
—
051537253
BCBS
AL
05
—
051557874
—
AL
05
—
64095532
—
KY
01
—
7779690
AETNA
AL
Enumeration date
02/14/2006
Last updated
12/20/2007
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