MEDICARE: DR. ALON TATSAS 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
1	207L00000X	Anesthesiology Physician	MD.47206	AL
2	207L00000X	Anesthesiology Physician	MD428923	PA
3	207L00000X	Anesthesiology Physician	MD.025672	LA
4	207LP3000X	Pediatric Anesthesiology Physician	40631	KY

General Provider Information

NPI Number	:	1598729238
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALON TATSAS M.D.

Provider Business Mailing Address
First Line	:	4523 COLEWOOD CIR SE
Second Line	:
City	:	HUNTSVILLE
State	:	AL
Zip	:	35802-1887
Country	:	US
Telephone Number	:	225-610-3989
Fax Number	:

Provider Business Practice Location Address
First Line	:	4511 SOUTHLAKE PKWY
Second Line	:
City	:	HOOVER
State	:	AL
Zip	:	35244-3238
Country	:	US
Telephone Number	:	205-985-4398
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/12/2006
Last Update Date	:	04/17/2026

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