Provider Demographics
NPI:1982680252
Name:ENT HEAD & NECK SURGERY, INC
Entity Type:Organization
Organization Name:ENT HEAD & NECK SURGERY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OTOLARYNGOLOGY PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:SALEEM
Authorized Official - Middle Name:I
Authorized Official - Last Name:NAVIWALA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:205-991-3141
Mailing Address - Street 1:113 SOUTHLEDGE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35242-2451
Mailing Address - Country:US
Mailing Address - Phone:205-991-3141
Mailing Address - Fax:205-981-2394
Practice Address - Street 1:113 SOUTHLEDGE
Practice Address - Street 2:SUITE 101
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35242-2451
Practice Address - Country:US
Practice Address - Phone:205-991-3141
Practice Address - Fax:205-981-2394
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALA99005Medicare UPIN
ALK460Medicare ID - Type Unspecified