Provider Demographics
NPI:1841307634
Name:TODOROV, ALEXANDRE B (MD)
Entity type:Individual
Prefix:DR
First Name:ALEXANDRE
Middle Name:B
Last Name:TODOROV
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:ALEXANDRE
Other - Middle Name:B
Other - Last Name:TODOROV
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1325 MCFARLAND BLVD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:NORTHPORT
Mailing Address - State:AL
Mailing Address - Zip Code:35476-3270
Mailing Address - Country:US
Mailing Address - Phone:205-333-2626
Mailing Address - Fax:205-333-8718
Practice Address - Street 1:1325 MCFARLAND BLVD
Practice Address - Street 2:SUITE 201
Practice Address - City:NORTHPORT
Practice Address - State:AL
Practice Address - Zip Code:35476-3270
Practice Address - Country:US
Practice Address - Phone:205-333-2626
Practice Address - Fax:205-333-8718
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL8700174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist