SHAJAN PETER


Address: Bdb 363 1720 2nd Ave S, Birmingham, AL 35294
Phone: 2059965217

SHAJAN PETER (NPI# 1871765552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871765552
Entity Type Individual
Full Name SHAJAN PETER
Other Name SHAJANPETER APPUKUTTAN SUGANDHA
Credential MD
Practice Address Bdb 363 1720 2nd Ave S
Birmingham
AL 35294
Mailing Address 2079 Arbor Hill Pkwy
Hoover
AL 35244-1564
Practice Telephone 2059965217
Mailing Telephone 2052676961
Enumeration Date 2008-04-02
Last Update Date 2018-08-24
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RG0100X Internal Medicine
Specialization: Gastroenterology
L3058SP AL Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
619 19th Street South, Birmingham, AL 35233 2059346600

Office Location

Street Address BDB 363 1720 2ND AVE S
City BIRMINGHAM
State AL
Zip Code 35294

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1578055943 Ashley Becking Smith Optometrist 1716 University Blvd G090a, Birmingham, AL 35294 2018-06-01
1235635780 Ruoting Wei Nurse Practitioner Uab Nephrology Tht 6th Floor 1720 2nd Ave South, Birmingham, AL 35294 2018-04-03
1295235372 Ruben Angiolo Mazzucchelli Student in an Organized Health Care Education/Training Program 901 Fot; 510 20th Street South, Uab Department of Orthopaedic Surgery, Birmingham, AL 35294 2018-02-15
1528571981 Alison Rachel Thomas Social Worker Uab Community Psychiatry 908 20th Street South Rm 487, Birmingham, AL 35294 2017-11-08
1346752490 Sara Michelle Kimbrell Nurse Practitioner 701 S. 19th Street, Lhr 112, Birmingham, AL 35294 2017-10-30
1801338785 Melissa Robinson Specialist/Technologist 608 13th St South, Wb104, Birmingham, AL 35294 2016-11-09
1487020897 Heriberto Enrique Matos Santana Student in an Organized Health Care Education/Training Program 1900 University Blvd Tht Building 311, Birmingham, AL 35294 2015-08-19
1073908364 Jamie Youngshin Kim Dentist 1919 7th Avenue South, Sdb 305, University of Alabama School of Dentistry, Birmingham, AL 35294 2015-04-02
1407257629 Kathryn Johannah Langley Nurse Practitioner 1530 3rd Avenue So, Tht 422, Birmingham, AL 35294 2014-09-08
1427463702 Lakeshia Thomas Student in an Organized Health Care Education/Training Program 1919-7th Avenue South, 304a, Birmingham, AL 35294 2014-06-25
Find all providers in zip 35294

Taxonomy Information

Taxonomy Code 207RG0100X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Gastroenterology

Taxonomy Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1730579707 Jerome Gaeton Ippolito Internal Medicine 4412 Fredricksburg Drive, Birmingham, AL 35213 2015-01-29
1588913867 Muhammad Ali Khan Internal Medicine 1720 2nd Ave S # Bdb380, Birmingham, AL 35294 2012-09-03
1851646889 Lewis Wayne Pressgrove Sr. Internal Medicine 2547 Ashford Pl, Birmingham, AL 35243-2244 2012-07-16
1629154117 Allison Duke Bridges Internal Medicine 703 19th St S, Zrb 633, Birmingham, AL 35294-0001 2006-10-27
1457433088 Owen Russell Mclean Internal Medicine 1 Independence Plaza Suite 900, Birmingham, AL 35209-2643 2006-10-20
1598772865 George Ralph Mcwhorter Internal Medicine 401 Tuscaloosa Ave Sw, Suite 220, Birmingham, AL 35211-1416 2006-08-01
1578516076 Ralph Thomas Lyerly Jr. Internal Medicine 1532 Carraway Blvd, Suite 220, Birmingham, AL 35234-1955 2006-05-18
1366406514 Birmingham Gastroenterology Associates PC Internal Medicine 1 Independence Plaza, Suite 900, Birmingham, AL 35209 2006-04-14
1780660142 Kenneth M Sigman Internal Medicine 3570 Grandview Pkwy Ste 100, Birmingham, AL 35243-2065 2005-12-19
1679557763 Mark Richard Janich Internal Medicine 1 Independence Plz, Ste 900, Birmingham, AL 35209-2629 2005-12-01
Find all providers in BIRMINGHAM

Competitor

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City BIRMINGHAM
Zip Code 35294

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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