| Patrick Ifediba Md Llc | |
|
1300 Bessemer Rd Birmingham AL 35208-4326 | |
| (205) 929-0565 | |
| (205) 929-0564 |
| Full Name | Patrick Ifediba Md Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1300 Bessemer Rd, Birmingham, Alabama |
| Authorized Official Name and Position | Patrick Emeka Ifediba (DIRECTOR) |
| Authorized Official Contact | 2059290565 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Patrick Ifediba Md Llc Po Box 59472 Birmingham AL 35259-9472 Ph: (205) 929-0565 | Patrick Ifediba Md Llc 1300 Bessemer Rd Birmingham AL 35208-4326 Ph: (205) 929-0565 |
| NPI Number | 1902085582 |
|---|---|
| Provider Enumeration Date | 10/30/2007 |
| Last Update Date | 07/19/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902085582 | NPI | - | NPPES |
| 51000499 | Other | AL | BLUE CROSS |
| 051554814 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 19014 (Alabama) | Primary |
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