Provider Demographics
NPI:1235137688
Name:OSULA, CLAUDE (MD)
Entity Type:Individual
Prefix:DR
First Name:CLAUDE
Middle Name:
Last Name:OSULA
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 1:1450 JONES DAIRY RD
Mailing Address - Street 2:BUILDING 700
Mailing Address - City:JASPER
Mailing Address - State:AL
Mailing Address - Zip Code:35501-6106
Mailing Address - Country:US
Mailing Address - Phone:205-295-4200
Mailing Address - Fax:205-295-4201
Practice Address - Street 1:1450 JONES DAIRY RD
Practice Address - Street 2:BUILDING 700
Practice Address - City:JASPER
Practice Address - State:AL
Practice Address - Zip Code:35501-6106
Practice Address - Country:US
Practice Address - Phone:205-295-4200
Practice Address - Fax:205-295-4201
Is Sole Proprietor?:No
Enumeration Date:2005-07-11
Last Update Date:2007-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL00018735207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALF97756Medicare UPIN