Healthcare Provider Details

I. General information

NPI: 1285139667
Provider Name (Legal Business Name): ANNAMALAI NADARAJAN JR. MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2018
Last Update Date: 02/24/2025
Certification Date: 02/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2698 MONTAUK RD
HOOVER AL
35226-6379
US

IV. Provider business mailing address

2451 USA MEDICAL CENTER DR
MOBILE AL
36617-2300
US

V. Phone/Fax

Practice location:
  • Phone: 251-545-6365
  • Fax:
Mailing address:
  • Phone: 251-445-8282
  • Fax: 251-445-8281

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LC0200X
TaxonomyCritical Care Medicine (Anesthesiology) Physician
License NumberMD.42843
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberMD.42843
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: