Provider Demographics
NPI:1053525618
Name:DANIEL, NEAL (MD)
Entity type:Individual
Prefix:
First Name:NEAL
Middle Name:
Last Name:DANIEL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2660 10TH AVENUE SOUTH
Mailing Address - Street 2:SUITE 528
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35205
Mailing Address - Country:US
Mailing Address - Phone:205-933-9258
Mailing Address - Fax:205-933-6504
Practice Address - Street 1:2660 10TH AVENUE SOUTH
Practice Address - Street 2:SUITE 528
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35205
Practice Address - Country:US
Practice Address - Phone:205-933-9258
Practice Address - Fax:205-933-6504
Is Sole Proprietor?:No
Enumeration Date:2007-05-10
Last Update Date:2021-11-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AL26472207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL108822Medicaid