| Timothy H Real Md Llc | |
|
4704 Cahaba River Rd Suite 1a Birmingham AL 35243-2344 | |
| (205) 313-6894 | |
| (205) 313-6897 |
| Full Name | Timothy H Real Md Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4704 Cahaba River Rd, Birmingham, Alabama |
| Authorized Official Name and Position | Timothy H Real (PRESIDENT) |
| Authorized Official Contact | 2053136894 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy H Real Md Llc 4704 Cahaba River Rd Suite 1a Birmingham AL 35243-2344 Ph: (205) 313-6894 | Timothy H Real Md Llc 4704 Cahaba River Rd Suite 1a Birmingham AL 35243-2344 Ph: (205) 313-6894 |
| NPI Number | 1043596117 |
|---|---|
| Provider Enumeration Date | 11/02/2011 |
| Last Update Date | 06/12/2014 |
| Medicare PECOS PAC ID | 1153588686 |
|---|---|
| Medicare Enrollment ID | O20120210000175 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043596117 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Timothy H Real |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558470500 PECOS PAC ID: 1153337233 Enrollment ID: I20100903000313 |
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