Meshad, Michael Wallace

Meshad, Michael Wallace is an individual health care provider with primary practice located at 3719 Dauphin Street 5Th Floor, Mobile AL 36608-1753. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Medical Oncology, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Meshad, Michael Wallace can be contacted via phone (251) 625-6896.

Contact Information

Primary practice address
3719 Dauphin Street 5Th Floor Mobile AL 36608-1753
Phone: (251) 625-6896
Fax: (251) 625-6897
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X 7158 Alabama
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 7158 Alabama

Profile Details

NPI number 1538112701
LBN Legal business name Meshad, Michael Wallace
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Oct 27th, 2021 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538112701 NPPES
Alabama MEDICAID 222887
Alabama MEDICAID 009941786
Alabama MEDICAID 009941787
Alabama MEDICAID 051513708
Alabama Other P00377085
Alabama MEDICAID 009941788

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