Provider Demographics
NPI:1740258698
Name:HOFAMMANN, KARL EMIL (MD)
Entity type:Individual
Prefix:
First Name:KARL
Middle Name:EMIL
Last Name:HOFAMMANN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:48 MEDICAL PARK E DR
Mailing Address - Street 2:SUITE 255
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35235
Mailing Address - Country:US
Mailing Address - Phone:205-838-3090
Mailing Address - Fax:205-838-6783
Practice Address - Street 1:720 MONTCLAIR RD
Practice Address - Street 2:SUITE 200
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35213
Practice Address - Country:US
Practice Address - Phone:205-591-2516
Practice Address - Fax:205-591-2522
Is Sole Proprietor?:No
Enumeration Date:2006-03-08
Last Update Date:2010-05-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AL11221207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL051527600Medicaid
AL051527600Medicaid
C78973Medicare UPIN
510I200106Medicare PIN