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DR. TATIANA BIDIKOV MD

>> Pediatrics >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1902873821

Individual Registrant:
DR. TATIANA  BIDIKOV MD
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1300 LEIGHTON AVE  ANNISTON, AL 36207-4614 US
Tel: 256-237-0023  Fax: 256-237-9022

Contact information for business:
1300 LEIGHTON AVE  ANNISTON, AL 36207-4614 US
Tel: 256-237-0023  Fax: 256-237-9022

Registration Information:
NPI: 1902873821
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y208000000XAllopathic & Osteopathic Physicians
Pediatrics
AL20762

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
009935140AL05




HEALTH CARE JOBS AL - Page 1



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