Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 28611 | AL |
Y | 111NI0900X | Internist | 28611 | AL |
N | 207RN0300X | Nephrologist | 28611 | AL |
NPI | 1003812140 |
---|---|
Provider Name | Dr. Mark L. Vaporean |
First Address | Birmingham, AL 35242-1421 |
Second Address | Birmingham, AL 35209-5506 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2005 |
Last Update Date | 29/07/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000623751 | HUMANA (01) | MO |
124605 | HEALTHLINK (01) | MO |
202734802 | (05) | MO |
23877 | GROUP HEALTH PLANS (01) | MO |
29386 | BLUE CROSS BLUE SHIELD (01) | MO |
3104003 | UNITED HEALTHCARE (01) | MO |
3711 | HEALTHCARE USA (01) | MO |
390001080 | RAILROAD MEDICARE (01) | MO |
656868 | FIRST HEALTH (01) | MO |
E23572 | (02) | MO |