Provider Demographics
NPI:1427581008
Name:SIBIA, UDAI (MD)
Entity type:Individual
Prefix:
First Name:UDAI
Middle Name:
Last Name:SIBIA
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 1:3 MOBILE INFIRMARY CIR STE 305
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36607-3515
Mailing Address - Country:US
Mailing Address - Phone:251-625-8200
Mailing Address - Fax:443-924-2727
Practice Address - Street 1:3 MOBILE INFIRMARY CIR STE 305
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36607-3515
Practice Address - Country:US
Practice Address - Phone:251-625-8200
Practice Address - Fax:443-924-2727
Is Sole Proprietor?:No
Enumeration Date:2017-04-10
Last Update Date:2024-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL497732086X0206X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology
No208600000XAllopathic & Osteopathic PhysiciansSurgery