Individual
DEEPAK CHANDRAMOHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
850 PETER BRYCE BLVD, TUSCALOOSA, AL 35401-7419
(205) 348-1770
(205) 348-5145
Mailing address
850 PETER BRYCE BLVD, TUSCALOOSA, AL 35401-7419
(205) 348-1770
(205) 348-5145
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
M.D.33617
AL
207RN0300X
Nephrology Physician
Primary
33617
AL
208M00000X
Hospitalist Physician
MD.33617
AL
Other
Enumeration date
07/19/2011
Last updated
02/01/2024
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