Individual
EJAS PALATHINGAL BAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1824 6TH ST S, BIRMINGHAM, AL 35205-5802
(713) 794-6109
Mailing address
2895 CROWNE RIDGE DR, VESTAVIA, AL 35243-5375
(713) 794-6109
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/07/2021
Last updated
04/07/2021
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