Individual
MALI MATHRU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
619 19TH STREET SOUTH, BIRMINGHAM, AL 35233
(205) 934-6600
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
(205) 731-9701
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
L2559
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009961585
—
AL
05
—
009961595
—
AL
05
—
009961905
—
AL
01
—
010033CD52656
SECTION 1011
AL
01
—
051523013
BLUE CROSS
AL
01
—
051523014
BLUE CROSS
AL
01
—
051523015
BLUE CROSS
AL
01
—
07105733
MISSISSIPPI MEDICAID
MS
01
—
P00821348
RAILROAD MEDICARE
AL
Enumeration date
07/04/2006
Last updated
07/12/2011
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