Provider Demographics
NPI:1164538310
Name:PADOVE, STUART J (MD)
Entity Type:Individual
Prefix:
First Name:STUART
Middle Name:J
Last Name:PADOVE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:801 PRINCETON AVE SW
Mailing Address - Street 2:POB I; SUITE 332
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35211-1310
Mailing Address - Country:US
Mailing Address - Phone:205-781-3752
Mailing Address - Fax:205-788-7244
Practice Address - Street 1:801 PRINCETON AVE SW
Practice Address - Street 2:POB I; SUITE 332
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35211-1310
Practice Address - Country:US
Practice Address - Phone:205-781-3752
Practice Address - Fax:205-788-7244
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2012-07-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL7101207RP1001X, 207RS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL1164538310Medicaid
ALP00880182OtherRAILROAD MEDICATE
AL51108484OtherBCBS OF AL
AL102I115897Medicare PIN
AL51108484OtherBCBS OF AL