Provider Demographics
NPI:1962846238
Name:BIRMINGHAM CARDIOVASCULAR CONSULTANTS, PC
Entity Type:Organization
Organization Name:BIRMINGHAM CARDIOVASCULAR CONSULTANTS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:F
Authorized Official - Last Name:MAHAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:205-481-7557
Mailing Address - Street 1:1500 URBAN CENTER DR
Mailing Address - Street 2:STE 325
Mailing Address - City:VESTAVIA
Mailing Address - State:AL
Mailing Address - Zip Code:35242-2564
Mailing Address - Country:US
Mailing Address - Phone:205-970-8800
Mailing Address - Fax:205-970-8805
Practice Address - Street 1:985 9TH AVE SW
Practice Address - Street 2:
Practice Address - City:BESSEMER
Practice Address - State:AL
Practice Address - Zip Code:35022-4500
Practice Address - Country:US
Practice Address - Phone:205-481-7557
Practice Address - Fax:205-481-7560
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-17
Last Update Date:2013-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty