Individual
MANJUNATH MASKAL KRISHNAIAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1808 7 AVENUE SOUTH, 563 BOSHELL BUILDING, BIRMINGHAM, AL 35292
(205) 934-9765
(205) 934-3993
Mailing address
BDB 563, 1720 2ND AVENUE SOUTH, BIRMINGHAM, AL 35294-0012
(205) 934-9765
(205) 934-3993
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
L.4027F
AL
Other
Enumeration date
09/05/2014
Last updated
09/05/2014
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