Healthcare Provider Details

I. General information

NPI: 1730529777
Provider Name (Legal Business Name): MAYUR NARKHEDE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: MAYUR SUBHASH NARKHEDE MD

II. Dates (important events)

Enumeration Date: 07/03/2013
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 6TH AVE S
BIRMINGHAM AL
35233-2110
US

IV. Provider business mailing address

PO BOX 55310
BIRMINGHAM AL
35255-5310
US

V. Phone/Fax

Practice location:
  • Phone: 205-934-9999
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number036.174464
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code207RH0000X
TaxonomyHematology (Internal Medicine) Physician
License Number036.174464
License Number StateIL
# 3
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number37990
License Number StateAL
# 4
Primary TaxonomyY
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number036.174464
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: