Provider Demographics
NPI:1538489190
Name:DEVANI, MADHAV (MD)
Entity type:Individual
Prefix:DR
First Name:MADHAV
Middle Name:
Last Name:DEVANI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3635 MARKET ST STE A
Mailing Address - Street 2:
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35226-6391
Mailing Address - Country:US
Mailing Address - Phone:727-999-5581
Mailing Address - Fax:866-228-5944
Practice Address - Street 1:3635 MARKET ST STE A
Practice Address - Street 2:
Practice Address - City:HOOVER
Practice Address - State:AL
Practice Address - Zip Code:35226-6391
Practice Address - Country:US
Practice Address - Phone:727-999-5581
Practice Address - Fax:866-228-5944
Is Sole Proprietor?:No
Enumeration Date:2010-06-07
Last Update Date:2024-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL32637208M00000X
ALMD32637207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine