Individual provider · Type 1 NPI

Ejas Palathingal Bava

Student in an Organized Health Care Education/Training Program · Birmingham, AL

NPI number 1790364495 Active

Practice location

1824 6th St S
Birmingham, AL 35205-5802

Call (713) 794-6109 Map

Mailing address

2895 Crowne Ridge Dr
Vestavia, AL 35243-5375

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1790364495

Ejas Palathingal Bava's National Provider Identifier is 1790364495, issued on Apr 7, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Birmingham, AL. The record was last updated on Apr 7, 2021.