MEDICARE: DR. VINIT R LAL 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
1	207RC0000X	Cardiovascular Disease Physician	L4511	TX
2	207UN0901X	Nuclear Cardiology Physician	L4511	TX
3	207RI0011X	Interventional Cardiology Physician	L4511	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1801850599
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VINIT R LAL MD

Provider Business Mailing Address
First Line	:	PO BOX 270
Second Line	:
City	:	SHANNON
State	:	AL
Zip	:	35142-0270
Country	:	US
Telephone Number	:	205-880-7575
Fax Number	:	205-894-7685

Provider Business Practice Location Address
First Line	:	8513 MID CITIES BLVD
Second Line	:
City	:	NORTH RICHLAND HILLS
State	:	TX
Zip	:	76182
Country	:	US
Telephone Number	:	817-803-1234
Fax Number	:	817-803-1999

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

Provider Enumeration Date	:	04/12/2006
Last Update Date	:	05/17/2022

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