Provider Demographics
NPI:1285899088
Name:DRUHAN, JULIAN PATRICK (MD)
Entity type:Individual
Prefix:
First Name:JULIAN
Middle Name:PATRICK
Last Name:DRUHAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000A SOUTHBRIDGE PKWY
Mailing Address - Street 2:STE 300
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35209-7718
Mailing Address - Country:US
Mailing Address - Phone:205-871-4274
Mailing Address - Fax:205-871-4301
Practice Address - Street 1:840 MONTCLAIR RD
Practice Address - Street 2:SUITE 317
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35213-1920
Practice Address - Country:US
Practice Address - Phone:205-592-5135
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-22
Last Update Date:2015-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
ALMD.310082085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL161213Medicaid
AL511-52823OtherBLUE CROSS
AL162228Medicaid
AL161303Medicaid
AL511-52825OtherBLUE CROSS
AL511-52830OtherBLUE CROSS
AL161537Medicaid
AL161873Medicaid
AL511-52826OtherBLUE CROSS
AL161538Medicaid
AL161509Medicaid
AL511-52828OtherBLUE CROSS
AL511-52832OtherBLUE CROSS
AL511-52829OtherBLUE CROSS
ALP01432324OtherRRMC
AL161303Medicaid