Individual
VINAYAK SHESHRAO PERAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBS, MD
Contact information
Practice address
1201 11TH AVE S, BIRMINGHAM, AL 35205-3410
(205) 930-7100
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
L.3452R
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051119285
BCBS
AL
01
—
051119287
BCBS
AL
01
—
051119288
BCBS
AL
05
—
09305794
—
MS
05
—
130904
—
AL
05
—
130907
—
AL
05
—
130909
—
AL
01
—
Z19098
VIVA
AL
Enumeration date
06/29/2011
Last updated
01/09/2012
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