Provider Demographics
NPI:1043257173
Name:HUH, WARNER K (MD)
Entity Type:Individual
Prefix:
First Name:WARNER
Middle Name:K
Last Name:HUH
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: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 1:619 19TH STREET SOUTH
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35233
Practice Address - Country:US
Practice Address - Phone:205-934-4011
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-31
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL22664207VX0201X
AL22644207VX0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0201XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL009969145Medicaid
AL051530162OtherBLUE CROSS
ALH09286OtherVIVA
AL130540Medicaid
AL000092820Medicaid
MS00530550Medicaid
AL009911696Medicaid
AL051524304OtherBLUE CROSS
AL051539051OtherBLUE CROSS
AL051543256OtherBLUE CROSS
AL160047852OtherRAILROAD MEDICARE
AL009910308Medicaid
AL000092820OtherBLUE CROSS
AL009932797Medicaid
AL051530162OtherBLUE CROSS