Provider Demographics
NPI:1780654293
Name:MANN, NAVDEEP KAUR (MD)
Entity Type:Individual
Prefix:DR
First Name:NAVDEEP
Middle Name:KAUR
Last Name:MANN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:930 FRANKLIN ST SE
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-4312
Mailing Address - Country:US
Mailing Address - Phone:256-539-4080
Mailing Address - Fax:256-539-4099
Practice Address - Street 1:930 FRANKLIN ST SE
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-4312
Practice Address - Country:US
Practice Address - Phone:256-539-4080
Practice Address - Fax:256-539-4099
Is Sole Proprietor?:No
Enumeration Date:2006-01-25
Last Update Date:2009-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL24759207RC0000X, 207UN0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207UN0901XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL111821Medicaid
AL111836Medicaid
AL111825Medicaid
AL111847Medicaid
TN4109933OtherBCBS
AL510-49414OtherBCBS
AL515-98615OtherBCBS
ALP00744627OtherRAILROAD MEDICARE
25-00591OtherUNITED HEALTHCARE
AL510-00703OtherBCBS
AL510-49268OtherBCBS
AL510-49269OtherBCBS
AL009992905Medicaid
AL111830Medicaid
AL510-49267OtherBCBS
AL111841Medicaid
AL510-49413OtherBCBS
7468686OtherAETNA
P00250928OtherRAILROAD MEDICARE
AL102I063648Medicare PIN
AL510-49413OtherBCBS
AL111830Medicaid
AL102I063646Medicare PIN
AL111821Medicaid