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General NPI Number Information
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NPI Number | 1851147045
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Entity Type | Organization
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Legal Business Name | MIDTOWN MEDICAL MOBILE LLC
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Dates
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Enumeration Date | 04/29/2024
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Last Update Date | 05/12/2025
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Provider Practice Location Address
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Address Line | 2055 AIRPORT BLVD
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City | MOBILE
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State | AL
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Zip | 36606-1701
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Country | US
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Telephone | 251-234-1625
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Fax |
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Provider Business Mailing Address
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Address Line | 2055 AIRPORT BLVD
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City | MOBILE
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State | AL
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Zip | 36606-1701
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Country | US
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Telephone | 251-234-1625
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Fax |
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Authorized Official
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Title or Position | CEO/ MED DIRECTOR/ CO OWNER
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Name | ATHIRA UPENDRAN NAIR
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Credential |
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Telephone | 251-234-1625
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2080P0202X
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Taxonomy Name | Pediatric Cardiology Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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