| Irena Bukelis, Md, Llc | |
|
400 Vestavia Pkwy Ste 102 Vestavia AL 35216-3784 | |
| (205) 352-2000 | |
| Not Available |
| Full Name | Irena Bukelis, Md, Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 400 Vestavia Pkwy Ste 102, Vestavia, Alabama |
| Authorized Official Name and Position | Irena Bukelis (PSYCHIATRIST) |
| Authorized Official Contact | 2053522000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Irena Bukelis, Md, Llc 400 Vestavia Pkwy Ste 102 Vestavia AL 35216-3784 Ph: () - | Irena Bukelis, Md, Llc 400 Vestavia Pkwy Ste 102 Vestavia AL 35216-3784 Ph: (205) 352-2000 |
| NPI Number | 1740918226 |
|---|---|
| Provider Enumeration Date | 08/11/2022 |
| Last Update Date | 08/11/2022 |
| Certification Date | 08/11/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740918226 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Primary |
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