Provider Demographics
NPI:1942230248
Name:MONHEIT, GARY D (MD)
Entity Type:Individual
Prefix:DR
First Name:GARY
Middle Name:D
Last Name:MONHEIT
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Gender:M
Credentials:MD
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Mailing Address - Street 1:2100 16TH AVE S
Mailing Address - Street 2:SUITE 202
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35205-5021
Mailing Address - Country:US
Mailing Address - Phone:205-933-0987
Mailing Address - Fax:205-930-1756
Practice Address - Street 1:2100 16TH AVE S
Practice Address - Street 2:SUITE 202
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35205-5021
Practice Address - Country:US
Practice Address - Phone:205-933-0987
Practice Address - Fax:205-930-1756
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2013-05-02
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Provider Licenses
StateLicense IDTaxonomies
AL6268207ND0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ND0101XAllopathic & Osteopathic PhysiciansDermatologyMOHS-Micrographic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL070006495OtherRAILROAD MEDICARE
AL51044454OtherBCBS OF AL
AL51044454OtherBCBS OF AL