| Internal Medicine Consultants Of Birmingham, Pc | |
|
805 Saint Vincents Dr Ste 500 Birmingham AL 35205-1636 | |
| (205) 323-3300 | |
| Not Available |
| Full Name | Internal Medicine Consultants Of Birmingham, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 805 Saint Vincents Dr, Birmingham, Alabama |
| Authorized Official Name and Position | Mark Steven Maldia (OWNER) |
| Authorized Official Contact | 2059708808 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Medicine Consultants Of Birmingham, Pc 1500 Urban Center Dr Ste. 325 Vestavia AL 35242-2564 Ph: (205) 970-8800 | Internal Medicine Consultants Of Birmingham, Pc 805 Saint Vincents Dr Ste 500 Birmingham AL 35205-1636 Ph: (205) 323-3300 |
| NPI Number | 1154593523 |
|---|---|
| Provider Enumeration Date | 03/26/2008 |
| Last Update Date | 10/17/2013 |
| Medicare PECOS PAC ID | 1557431624 |
|---|---|
| Medicare Enrollment ID | O20080602000070 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154593523 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 20167 (Alabama) | Primary |
| Provider Name | Mark S Maldia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154383784 PECOS PAC ID: 7517959323 Enrollment ID: I20040401000502 |
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