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NPI Code Detail

MEDICARE: DR. TOIHUNTA STUBBS M.D.

MEDICARE:  DR. TOIHUNTA  STUBBS  M.D.
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
1207P00000XEmergency Medicine Physician01059311AIN
2207P00000XEmergency Medicine Physician39854KY
3207P00000XEmergency Medicine PhysicianMD.47305AL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
100000569692OTHERKYANTHEM

General Provider Information

NPI Number : 1538143524
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TOIHUNTA STUBBS M.D.
Provider Business Mailing Address
First Line : 8825 BEULAH ST
Second Line :
City : FORT BELVOIR
State : VA
Zip : 22060-5847
Country : US
Telephone Number : 571-515-6692
Fax Number :
Provider Business Practice Location Address
First Line : 810 SAINT VINCENTS DR
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35205-1601
Country : US
Telephone Number : 205-939-7100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/02/2005
Last Update Date : 02/02/2024

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