Provider Demographics
NPI:1649977091
Name:JMD RHEUM LLC
Entity type:Organization
Organization Name:JMD RHEUM LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ARCHANA
Authorized Official - Middle Name:
Authorized Official - Last Name:JAIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:205-218-1547
Mailing Address - Street 1:3000 MEADOW LAKE DR STE 101
Mailing Address - Street 2:
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35242-0302
Mailing Address - Country:US
Mailing Address - Phone:205-855-5575
Mailing Address - Fax:205-272-5040
Practice Address - Street 1:3000 MEADOW LAKE DR STE 101
Practice Address - Street 2:
Practice Address - City:HOOVER
Practice Address - State:AL
Practice Address - Zip Code:35242-0302
Practice Address - Country:US
Practice Address - Phone:205-855-5575
Practice Address - Fax:205-272-5040
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-15
Last Update Date:2023-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty