NPI 1134700131

Ssd, LLC

Organisation Dermatology Physician Birmingham, AL

Practice location

Address: 48 Medical Park Dr E STE 458, Birmingham, AL 35235-3473
Phone: (205) 838-1811
Fax: (205) 838-4525

Authorised official

Name: Mario Kumar Maruthur
Title: Physician Owner
Phone: (205) 900-2000

Registered specialties (2)

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X

Other Dermatology providers in Alabama →

MOHS-Micrographic Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 207ND0101X

Registry record

NPI: 1134700131
Entity type: Organization
NPI issued: 20 Apr 2021
Record last updated: 9 Jan 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.