ZALAMEA, RODERICK MILLAN (MD)

Provider Demographics

• NPI: 1669505368
• Name: ZALAMEA, RODERICK MILLAN (MD)
• Entity Type: Individual
• Prefix: DR
• First Name: RODERICK
• Middle Name: MILLAN
• Last Name: ZALAMEA
• Gender: M
• Credentials: MD
• Other - Prefix: DR
• Other - First Name: RICKY
• Other - Last Name: ZALAMEA
• Other - Last Name Type: Other Name
• Other - Credentials: MD
• Mailing Address - Street 1: 2006 FRANKLIN ST SE STE 200
• Mailing Address - City: HUNTSVILLE
• Mailing Address - State: AL
• Mailing Address - Zip Code: 35801-4537
• Mailing Address - Country: US
• Mailing Address - Phone: 256-539-0457
• Mailing Address - Fax: 256-539-5827
• Practice Address - Street 1: 2006 FRANKLIN ST SE
• Practice Address - Street 2: SUITE 200
• Practice Address - City: HUNTSVILLE
• Practice Address - State: AL
• Practice Address - Zip Code: 35801-4551
• Practice Address - Country: US
• Practice Address - Phone: 256-539-0457
• Practice Address - Fax: 256-539-5827
• Is Sole Proprietor?: No
• Enumeration Date: 2007-03-13
• Last Update Date: 2023-03-10

Provider Licenses

State	License ID	Taxonomies
AR	E4500	2085R0202X
TN	39788	2085R0202X
MS	18291	2085R0202X
AL	28754	2085R0202X
NC	200700263	2085R0202X

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization
Yes	2085R0202X	Allopathic & Osteopathic Physicians	Radiology	Diagnostic Radiology

Provider Identifiers

State	Identifier ID	ID Type	Issuer
AL	102349	Medicaid
AL	110192	Medicaid
AL	135802	Medicaid
	147CY	Other	BCBS
AL	51595846	Other	BCBS
SC	Q0026F	Medicaid
AL	102477	Medicaid
AL	107499	Medicaid
AL	139313	Medicaid
AL	237243	Medicaid
AL	51595847	Other	BCBS
AL	51595850	Other	BCBS
AL	126728	Medicaid
AL	128416	Medicaid
AL	212564	Medicaid
AL	227093	Medicaid
AL	229381	Medicaid
AL	230405	Medicaid
NC	5907742	Medicaid
AL	104094	Medicaid
AL	147838	Medicaid
	202295	Other	MEDCOST
AL	229081	Medicaid
AL	51067359	Other	BCBS
AL	102410	Medicaid
AL	102452	Medicaid
AL	102454	Medicaid
AL	115169	Medicaid
AL	219104	Medicaid
AL	229281	Medicaid
AL	238130	Medicaid
AL	51595851	Other	BCBS
AL	1151969	Medicaid
AL	117331	Medicaid
AL	159884	Medicaid
AL	228213	Medicaid
AL	228911	Medicaid
AL	229379	Medicaid
WV	3810009800	Medicaid
AL	51594742	Other	BCBS-ONC. SPEC.
AL	51595848	Other	BCBS
AL	141198	Medicaid
AL	229210	Medicaid
AL	102451	Medicaid
AL	103555	Medicaid
AL	228744	Medicaid
AL	248130	Medicaid
AL	51595849	Other	BCBS