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NPI Code Detail

MEDICARE: TIMOTHY H REAL MD LLC

MEDICARE: TIMOTHY H REAL MD LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QP2300XPrimary Care Clinic/Center

General Provider Information

NPI Number : 1043596117
Entity Type Code : Organization
Provider Name (Legal Business Name) : TIMOTHY H REAL MD LLC
Provider Business Mailing Address
First Line : 4704 CAHABA RIVER RD
Second Line : SUITE 1A
City : BIRMINGHAM
State : AL
Zip : 35243-2344
Country : US
Telephone Number : 205-313-6894
Fax Number : 205-313-6897
Provider Business Practice Location Address
First Line : 4704 CAHABA RIVER RD
Second Line : SUITE 1A
City : BIRMINGHAM
State : AL
Zip : 35243-2344
Country : US
Telephone Number : 205-313-6894
Fax Number : 205-313-6897
Authorized Official
Title or Position : PRESIDENT
Name : TIMOTHY H REAL
Credential : M.D.
Telephone Number : 205-313-6894
Provider Enumeration Date : 11/02/2011
Last Update Date : 02/04/2025

Similar Medicare Providers

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1437179553 — J DENNIS BUTLER CRNP
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1558470500 — TIMOTHY H REAL MD
Practice Location Address:
4704 CAHABA RIVER RD , SUITE 1A
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1659474435 — WILLIAM I. LAPIDUS M.D.
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1699932285 — DR. JACK PHILLIP WEISS DMD
Practice Location Address:
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1376709055 — DR. ANURAG GANDHI MBBS
Practice Location Address:
4704 CAHABA RIVER RD , SUITE 101D
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Practice Fax: 205-739-2335

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