Individual
DR. TATIANA BIDIKOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1300 LEIGHTON AVE, ANNISTON, AL 36207-4614
(256) 237-0023
(256) 237-9022
Mailing address
1300 LEIGHTON AVE, ANNISTON, AL 36207-4614
(256) 237-0023
(256) 237-9022
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
20762
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009935140
—
AL
Enumeration date
03/01/2006
Last updated
08/03/2012
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