Provider Demographics
NPI:1063079556
Name:PATEL, MURTI (MD)
Entity type:Individual
Prefix:DR
First Name:MURTI
Middle Name:
Last Name:PATEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 20TH ST SOUTH AB 921
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35249-0109
Mailing Address - Country:US
Mailing Address - Phone:601-951-8488
Mailing Address - Fax:205-934-3411
Practice Address - Street 1:701 20TH ST SOUTH AB 921
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35233-2031
Practice Address - Country:US
Practice Address - Phone:601-951-8488
Practice Address - Fax:205-934-3411
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-21
Last Update Date:2022-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Single Specialty