Individual
MOON H NAHM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
619 19TH STREET SOUTH, BIRMINGHAM, AL 35233
(205) 934-4011
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
(205) 731-9701
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
L2268
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010033CH39574
SECTION 1011
AL
01
—
051502800
BLUE CROSS
AL
05
—
051502800
—
AL
01
—
220030749
RAILROAD MEDICARE
AL
Enumeration date
07/04/2006
Last updated
04/08/2013
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