Individual
DR. PRATHISHA MANICKA VINOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2731 MARTIN LUTHER KING BLVD, TUSCALOOSA, AL 35401-5235
(205) 758-6647
Mailing address
2731 MARTIN LUTHER KING BLVD, TUSCALOOSA, AL 35401-5235
(205) 758-6647
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
49934
AL
Other
Enumeration date
07/20/2022
Last updated
10/13/2025
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