Individual
AJIT KAMALAKARRAO NAIDU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2095 FLORENCE BLVD, FLORENCE, AL 35630-2751
(256) 766-2310
(256) 768-9956
Mailing address
2095 FLORENCE BLVD, FLORENCE, AL 35630-2751
(256) 766-2310
(256) 768-9956
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
15209R
LA
207RC0000X
Cardiovascular Disease Physician
Primary
MD.29028
AL
207RC0000X
Cardiovascular Disease Physician
ME 97412
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07107811
—
MS
05
—
1161233
—
LA
05
—
180882
—
AL
01
—
511-68536
BCBS AL
AL
01
—
P00093128
RR MEDICARE
LA
Enumeration date
07/05/2005
Last updated
08/16/2016
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