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General NPI Number Information
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NPI Number | 1326015231
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Entity Type | Individual
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Provider Name | RAUL MAGADIA MD
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Gender | Male
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Dates
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Enumeration Date | 03/01/2006
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Last Update Date | 01/06/2009
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Provider Practice Location Address
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Address Line | 1112 CHRISTINE AVE
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City | ANNISTON
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State | AL
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Zip | 36207-4658
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Country | US
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Telephone | 256-237-2351
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Fax | 256-237-2350
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Provider Business Mailing Address
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Address Line | 40 GILES ST
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City | HEFLIN
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State | AL
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Zip | 36264-1738
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Country | US
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Telephone | 256-237-2351
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Fax | 256-237-2350
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 26338
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License Number State | AL
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