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Contact Information

MUHAMMAD EJAZ ATA
6110 COUNTY ROAD 88
PISGAH MEDICAL CLINIC
PISGAH, AL35765
 Phone: 256-451-1250
 Fax: 256-451-1270
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for MUHAMMAD EJAZ ATA

NPI # 1851308910
LBN Legal business name MUHAMMAD EJAZ ATA
Authorized official MUHAMMAD ATA - (MEDICAL DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 08/02/2006
Last updated 10/22/2009 - About 17 years ago
Identifiers
MD License # 00000
MI License # 00000
AL Medicaid 541003864
Other CM0511 RAILROAD MEDICACRE
AL Other 011432 BLUE CROSS
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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