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Individual

JAYAPAL RAMESH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
619 19TH ST S, BIRMINGHAM, AL 35249-1900
(205) 934-4011
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
(205) 731-9701

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
L.3486SP
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00204051
MS
01
051120814
BCBS
AL
01
051120815
BCBS
AL
01
051120816
BCBS
AL
05
133318
AL
05
133320
AL
05
133322
AL
Enumeration date
09/28/2011
Last updated
02/02/2012
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