Individual
RAJAPPA EKAMBARAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4717 UNIVERSITY DR NW STE 109, HUNTSVILLE, AL 35816-3460
(256) 890-8700
(256) 890-8989
Mailing address
4717 UNIVERSITY DR NW STE 109, HUNTSVILLE, AL 35816-3460
(256) 890-8700
(256) 890-8989
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
AL10375
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51009975
BLUE CROSS BLUE SHIELD
AL
01
—
51009976
BLUE CROSS BLUE SHIELD
AL
01
—
51510738
BC PROVIDER NUMBER
AL
Enumeration date
05/23/2006
Last updated
04/09/2020
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