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:
Health care specialties
| Specialty | Code | License # | 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 4 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 | 1538112701 | NPPES |
| Alabama | MEDICAID | 222887 | |
| Alabama | MEDICAID | 009941786 | |
| Alabama | MEDICAID | 009941787 | |
| Alabama | MEDICAID | 051513708 | |
| Alabama | Other | P00377085 | |
| Alabama | MEDICAID | 009941788 |
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