Healthcare Provider Details

I. General information

NPI: 1295739274
Provider Name (Legal Business Name): ALVARO ALEJANDRO ALDANA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2005
Last Update Date: 02/11/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3686 GRANDVIEW PKWY SUITE 720
BIRMINGHAM AL
35243-3407
US

IV. Provider business mailing address

3686 GRANDVIEW PKWY SUITE 720
BIRMINGHAM AL
35243-3407
US

V. Phone/Fax

Practice location:
  • Phone: 205-971-7500
  • Fax:
Mailing address:
  • Phone: 205-971-7500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number21584
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number21584
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: