Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RP1001X | Pulmonary Disease | L3390DP | AL |
N | 207RP1001X | Pulmonary Disease | ME90249 | FL |
NPI | 1033150057 |
---|---|
Provider Name | Veena B Antony |
First Address | Birmingham, AL 35255-5310 |
Second Address | Birmingham, AL 35233-2110 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2006 |
Last Update Date | 01/11/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
07273822 | (05) | MS |
125127 | (05) | AL |
125128 | (05) | AL |
125129 | (05) | AL |
269887100 | (05) | FL |
51111233 | BCBS (01) | AL |
51111234 | BCBS (01) | AL |
51111235 | BCBS (01) | AL |
B28433 | (02) |