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NPI Code Detail

MEDICARE: IVANA BARBARA KAJDOS MD

MEDICARE: IVANA BARBARA KAJDOS MD
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
1207R00000XInternal Medicine Physician10598AL

General Provider Information

NPI Number : 1215939301
Entity Type Code : Individual
Provider Name (Legal Business Name) : IVANA BARBARA KAJDOS MD
Provider Business Mailing Address
First Line : 1130 22ND ST S
Second Line : STE 1000
City : BIRMINGHAM
State : AL
Zip : 35205-2881
Country : US
Telephone Number : 205-385-0630
Fax Number : 205-385-0645
Provider Business Practice Location Address
First Line : 3400 HIGHWAY 78 E
Second Line : MEDICAL ARTS TOWER, SUITE 321
City : JASPER
State : AL
Zip : 35501-8907
Country : US
Telephone Number : 205-385-0630
Fax Number : 205-385-0645
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2005
Last Update Date : 02/02/2018

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Directions to “ IVANA BARBARA KAJDOS MD” Practice Location

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