Mahapatra, Dibyajiban
Mahapatra, Dibyajiban is an individual health care provider with primary practice located at 185 Whitesport Dr Sw Suite - 7, Huntsville AL 35801-6486. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Mahapatra, Dibyajiban can be contacted via phone (256) 883-6966.Contact Information
Primary practice address
185 Whitesport Dr Sw Suite - 7
Huntsville AL 35801-6486
Phone: (256) 883-6966
Fax: (256) 883-6432
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 20939 | Alabama |
Profile Details
| NPI number | 1639163769 |
|---|---|
| LBN Legal business name | Mahapatra, Dibyajiban |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 5th, 2005 |
| Last updated | Sep 9th, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639163769 | NPPES |
| Alabama | MEDICAID | 051507491 | |
| Alabama | Other | 051507491 |
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