Provider Demographics
NPI:1881624013
Name:NATH, HRUDAYA
Entity type:Individual
Prefix:
First Name:HRUDAYA
Middle Name:
Last Name:NATH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 6TH AVE S
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35233-2110
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2000 6TH AVE S
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35233-2110
Practice Address - Country:US
Practice Address - Phone:205-934-9999
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-04
Last Update Date:2022-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL106502085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS00124604OtherMISSISSIPPI MEDICAID
AL009982970Medicaid
AL010033CD84035OtherSECTION 1011
AL009909435Medicaid
ALD84035OtherVIVA
AL000011074OtherBLUE CROSS
AL051505971OtherBLUE CROSS
AL051505317OtherBLUE CROSS
AL051513004OtherBLUE CROSS
AL051534378OtherBLUE CROSS
AL000011074Medicaid
AL009936958Medicaid
AL051512219OtherBLUE CROSS
AL009982970Medicaid
AL009936958Medicaid