Provider Demographics
NPI:1265518716
Name:SERIO, ROBERT ANDREW (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:ANDREW
Last Name:SERIO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1104 MONROE ST SW
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-5029
Mailing Address - Country:US
Mailing Address - Phone:256-265-5864
Mailing Address - Fax:256-265-5865
Practice Address - Street 1:1104 MONROE ST SW
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-5029
Practice Address - Country:US
Practice Address - Phone:256-265-5864
Practice Address - Fax:256-265-5865
Is Sole Proprietor?:No
Enumeration Date:2006-10-27
Last Update Date:2016-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL00007876207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL4036827OtherAETNA PROVIDER #
AL4810071OtherUHC PROVIDER #
AL07362OtherBCBS OF AL PROVIDER #
AL290007791OtherRR MEDICARE PROVIDER #
AL000007362Medicaid
AL000007362Medicaid
AL4036827OtherAETNA PROVIDER #
AL4810071OtherUHC PROVIDER #