Provider Demographics
NPI:1467490086
Name:ZLOTY, PETER (MD)
Entity Type:Individual
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First Name:PETER
Middle Name:
Last Name:ZLOTY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:250 STATE FARM PKWY
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35209-7181
Mailing Address - Country:US
Mailing Address - Phone:205-943-4650
Mailing Address - Fax:205-943-4688
Practice Address - Street 1:3290 DAUPHIN ST
Practice Address - Street 2:SUITE 401
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36606-4062
Practice Address - Country:US
Practice Address - Phone:251-471-3309
Practice Address - Fax:251-471-3056
Is Sole Proprietor?:No
Enumeration Date:2006-06-04
Last Update Date:2020-03-20
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Provider Licenses
StateLicense IDTaxonomies
AL16585207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALE49210Medicare UPIN