NPI 1649224874 · live from the CMS NPI Registry
Ian Grant Malcolm, MD
Radiology, Diagnostic Radiology in Birmingham, AL. National Provider Identifier 1649224874, active.
NPI record
| NPI | 1649224874 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 619 19th Street South, Birmingham, AL 35233 |
| Practice phone | 205-934-6600 |
| Mailing address | Po Box 55310, Birmingham, AK 35255 |
| Enumerated | May 20, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Radiology primary | 2085R0202X | 8704 (AL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.