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Mollie Rene Deshazo, MD
Hematology & Oncology Physician in Birmingham, Alabama
NPI 1487603841

Mollie Rene Deshazo is a Hematology & Oncology Physician based in Birmingham, AL and is specialized in Hematology & Oncology. Mollie Rene Deshazo practices in Birmingham, AL and has the professional credentials of MD. The NPI Number for Mollie Rene Deshazo is 1487603841 and holds a License No. 24415 (Alabama).

The current practice location address for Mollie Rene Deshazo is 619 19Th Street South, Birmingham, AL and can be reached out via phone at 205-934-6600.

Location: 619 19Th Street South, Birmingham, AL, 35255-5310
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Provider Profile Details
NPI Number
1487603841
Provider Name
Mollie Rene Deshazo
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
619 19Th Street South, Birmingham, AL, 35255-5310
Phone Number
205-934-6600
Fax Number
Provider Enumeration Date
05/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
009936801 05 AL
009936802 05 AL
P00376923 01 AL RAILROAD MEDICARE
051534114 01 AL BCBS
051534115 01 AL BCBS
051534116 01 AL BCBS
009936803 05 AL
institution
Provider Business Practice Location Address Details
Address
619 19Th Street South
City
State
Zip
35233
Phone Number
205-934-6600
Fax Number
person
Provider Business Mailing Address Details
Address
619 19Th Street South
City
State
Zip
35233
Phone Number
205-934-6600
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
License No.
24415 (Alabama)
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
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