Provider Demographics
NPI:1043230212
Name:LAW, NOVA (MD)
Entity Type:Individual
Prefix:DR
First Name:NOVA
Middle Name:
Last Name:LAW
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:944 18TH ST S
Mailing Address - Street 2:SUITE C
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35205-3718
Mailing Address - Country:US
Mailing Address - Phone:205-870-4343
Mailing Address - Fax:205-870-0299
Practice Address - Street 1:944 18TH ST S
Practice Address - Street 2:SUITE C
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35205-3718
Practice Address - Country:US
Practice Address - Phone:205-870-4343
Practice Address - Fax:205-870-0299
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-20
Last Update Date:2015-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL25138207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL529917110Medicaid
AL20-0230648OtherTRICARE
AL20-0230648OtherFIRST HEALTH
AL20-0230648OtherUNITED HEALTH CARE
AL51517737OtherBCBS
ALH90321OtherVIVA HEALTH
ALH90321OtherHEALTHSPRINGS
AL529917110Medicaid
ALH90321OtherHEALTHSPRINGS