Provider Demographics
NPI:1336702976
Name:LING, CARLTHAN
Entity type:Individual
Prefix:
First Name:CARLTHAN
Middle Name:
Last Name:LING
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1720 UNIVERSITY BLVD STE 305
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35233-1816
Mailing Address - Country:US
Mailing Address - Phone:205-325-8100
Mailing Address - Fax:205-325-8547
Practice Address - Street 1:1720 UNIVERSITY BLVD STE 305
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35233-1816
Practice Address - Country:US
Practice Address - Phone:205-325-8100
Practice Address - Fax:205-325-8547
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-18
Last Update Date:2025-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN67882207W00000X
390200000X
AL47931207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program