Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | MD.40977 | AL |
Y | 2080P0207X | Pediatric Hematology-Oncologist | MD.40977 | AL |
NPI | 1154762417 |
---|---|
Provider Name | Dr. Sheetal Sadanand Phadnis |
First Address | Birmingham, AL 35233-1711 |
Second Address | Birmingham, AL 35233-1711 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/07/2013 |
Last Update Date | 12/08/2020 |