Provider Demographics
NPI:1326153255
Name:HEART & VASCULAR CARE OF ALABAMA, PC
Entity Type:Organization
Organization Name:HEART & VASCULAR CARE OF ALABAMA, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:W
Authorized Official - Last Name:NATELLO
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:205-980-1380
Mailing Address - Street 1:151 NARROWS PKWY
Mailing Address - Street 2:SUITE E
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35242-8637
Mailing Address - Country:US
Mailing Address - Phone:205-980-1380
Mailing Address - Fax:
Practice Address - Street 1:151 NARROWS PKWY
Practice Address - Street 2:SUITE E
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35242-8637
Practice Address - Country:US
Practice Address - Phone:205-980-1380
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALDO1432086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALC78708Medicare UPIN