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Contact Information

MOLLIE R DESHAZO, MD
619 19TH STREET SOUTH
BIRMINGHAM, AL35233
 Phone: 205-934-6600
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for MOLLIE R DESHAZO · (Female)

NPI # 1487603841
Status Active
Credentials MD
Entity Individual
Enumeration date 05/10/2006
Last updated 10/20/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • AL License # 24415
  • AL Medicaid 009936801
  • AL Medicaid 009936802
  • AL Medicaid 009936803
  • AL Other 051534114 BCBS
  • AL Other 051534115 BCBS
  • AL Other 051534116 BCBS
  • AL Other P00376923 RAILROAD MEDICARE
Hospital affiliation(s)
  • UNIVERSITY OF ALABAMA HOSPITAL - (Acute Care)
    619 SOUTH 19TH STREET
    BIRMINGHAM, AL 35233
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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