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DR. TATIANA BIDIKOV MD
>> Pediatrics >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1902873821
Individual Registrant:DR. TATIANA BIDIKOV MD
Gender: F
Not Sole Proprietor
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
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
Tel: 256-237-0023 Fax: 256-237-9022
Registration Information:
NPI: 1902873821
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 208000000X | Allopathic & Osteopathic Physicians Pediatrics | AL | 20762 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 009935140 | AL | 05 |
