1639472087 NPI number — MRS. NATALIE GAVIN MARKHAM R.D.

Table of content: MEGHA SHARMA NP (NPI 1033876941)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1639472087 NPI number — MRS. NATALIE GAVIN MARKHAM R.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MARKHAM
Provider First Name:
NATALIE
Provider Middle Name:
GAVIN
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
R.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
GAVIN
Provider Other First Name:
NATALIE
Provider Other Middle Name:
BROOKE
Provider Other Name Prefix Text:
MISS
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1639472087
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/07/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
109 E GLENWOOD DR
Provider Second Line Business Mailing Address:
APT C
Provider Business Mailing Address City Name:
BIRMINGHAM
Provider Business Mailing Address State Name:
AL
Provider Business Mailing Address Postal Code:
35209-3952
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
205-835-8232
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3239 CORNWALL DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HOOVER
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
35226-2607
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
205-595-0694
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/07/2010

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 133V00000X , with the licence number:  1691 , registered in the state of AL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2026 www.npivalidator.com