Provider Demographics
NPI:1275648412
Name:DEY, CHRISTIAN M (MD)
Entity Type:Individual
Prefix:
First Name:CHRISTIAN
Middle Name:M
Last Name:DEY
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 1:48 MEDICAL PARK DR E
Mailing Address - Street 2:SUITE 355
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35235-3400
Mailing Address - Country:US
Mailing Address - Phone:205-838-3036
Mailing Address - Fax:205-838-5832
Practice Address - Street 1:48 MEDICAL PARK DR E
Practice Address - Street 2:SUITE 355
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35235-3400
Practice Address - Country:US
Practice Address - Phone:205-838-3036
Practice Address - Fax:205-838-5832
Is Sole Proprietor?:No
Enumeration Date:2006-08-20
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALAL22444207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51502481OtherBLUE CROSS AND BLUE SHIEL
AL051502481Medicaid
AL7410633OtherUNITED HEALTH CARE
AL160007725OtherRAIL ROAD MEDICARE
AL51502481OtherBLUE CROSS AND BLUE SHIEL
AL160007725OtherRAIL ROAD MEDICARE