Provider Demographics
NPI:1336349844
Name:EARLA, JANAKI RAM (MD)
Entity Type:Individual
Prefix:
First Name:JANAKI
Middle Name:RAM
Last Name:EARLA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1690 LAKE CYRUS CLUB DRIVE
Mailing Address - Street 2:
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35244-4181
Mailing Address - Country:US
Mailing Address - Phone:910-272-3051
Mailing Address - Fax:910-738-3764
Practice Address - Street 1:4735 NORRELL DRIVE
Practice Address - Street 2:SUITE 109
Practice Address - City:TRUSSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35173
Practice Address - Country:US
Practice Address - Phone:205-655-9355
Practice Address - Fax:205-655-3312
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-23
Last Update Date:2021-04-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC2007-01202207R00000X
ALAL31343207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2072401AMedicare PIN
NC2072401Medicare PIN