Provider Demographics
NPI:1033150057
Name:ANTONY, VEENA B (MD)
Entity Type:Individual
Prefix:
First Name:VEENA
Middle Name:B
Last Name:ANTONY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:VEENA
Other - Middle Name:BERRY
Other - Last Name:ANTONY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 55310
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35255-5310
Mailing Address - Country:US
Mailing Address - Phone:205-731-9701
Mailing Address - Fax:
Practice Address - Street 1:2000 6TH AVE S
Practice Address - Street 2:PULMONARY CLINIC, 4TH FLOOR
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35233-2110
Practice Address - Country:US
Practice Address - Phone:205-801-8230
Practice Address - Fax:205-801-8231
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2011-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME90249207RP1001X
ALL3390DP207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51111233OtherBCBS
AL125127Medicaid
MS07273822Medicaid
AL51111235OtherBCBS
AL125128Medicaid
FL269887100Medicaid
AL125129Medicaid
AL51111234OtherBCBS
43130ZMedicare PIN
AL51111235OtherBCBS
AL125127Medicaid