Attupuram Joseph Alexander, MD
Individual provider Active NPI Gastroenterology Physician · Decatur, AL
NPI 1790761443 · NPPES record last updated Jun 8, 2010
Key facts
- NPI
- 1790761443
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Gastroenterology Physician 207RG0100X
- License
- 00026035 (AL)
- Practice address
- 2282 Highway 31 S
Suite 117
Decatur, AL 35601-6512 - Phone
- (256) 351-2116
- Fax
- (256) 351-2128
- NPI assigned
- Dec 15, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00026035 | AL | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Decatur Digestive Diseases PC | Gastroenterology | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 00026035 | AL | Yes |
Addresses
Primary practice location
2282 Highway 31 S
Suite 117
Decatur, AL 35601-6512
Mailing address
2282 Highway 31 S
PO Box 3017
Decatur, AL 35601-6512
Phone (256) 351-2116
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 529803980 | Medicaid | AL |
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All providers in Decatur, AL · Gastroenterology Physician in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 8, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.