Provider Demographics
NPI:1699882738
Name:JARIWALA, HASMUKH NAGINDAS (MD)
Entity type:Individual
Prefix:
First Name:HASMUKH
Middle Name:NAGINDAS
Last Name:JARIWALA
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 1:2121 BROOKHIGHLAND RIDGE
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35242-5871
Mailing Address - Country:US
Mailing Address - Phone:205-427-2458
Mailing Address - Fax:205-884-1596
Practice Address - Street 1:2811 DR JOHN HAYNES DR
Practice Address - Street 2:SUITE 102
Practice Address - City:PELL CITY
Practice Address - State:AL
Practice Address - Zip Code:35125
Practice Address - Country:US
Practice Address - Phone:205-884-1597
Practice Address - Fax:205-884-1596
Is Sole Proprietor?:No
Enumeration Date:2006-08-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL8604207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL02921OtherBCBS
AL02921OtherBCBS