Individual
DR. TEJANAND GOWTHAM MULPUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
201 SIVLEY RD SW, ST # 560, HUNTSVILLE, AL 35801-5134
(256) 265-5606
(256) 265-6561
Mailing address
201 SIVLEY RD SW, ST # 560, HUNTSVILLE, AL 35801-5134
(256) 265-5606
(256) 265-6561
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
15031
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000082289
—
AL
Enumeration date
03/27/2006
Last updated
09/28/2012
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