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Individual

JULIAN MAHAGANASAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
50 MEDICAL PARK DR E, ST. VINCENT'S EAST, BIRMINGHAM, AL 35235-3401
(205) 545-9530
(205) 545-9529
Mailing address
2016 STONEGATE TRL, SUITE 112, VESTAVIA HILLS, AL 35242-2260
(205) 545-9530

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
24516
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
051555550
AL
Enumeration date
04/28/2006
Last updated
06/27/2008
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