Basic Information
| Provider Information | |||||||||
| NPI: | 1336349844 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | EARLA | ||||||||
| FirstName: | JANAKI | ||||||||
| MiddleName: | RAM | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1690 LAKE CYRUS CLUB DRIVE | ||||||||
| Address2: | |||||||||
| City: | HOOVER | ||||||||
| State: | AL | ||||||||
| PostalCode: | 352444181 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9102723051 | ||||||||
| FaxNumber: | 9107383764 | ||||||||
| Practice Location | |||||||||
| Address1: | 4735 NORRELL DRIVE | ||||||||
| Address2: | SUITE 109 | ||||||||
| City: | TRUSSVILLE | ||||||||
| State: | AL | ||||||||
| PostalCode: | 35173 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2056559355 | ||||||||
| FaxNumber: | 2056553312 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/23/2007 | ||||||||
| LastUpdateDate: | 04/27/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 04/27/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 2007-01202 | NC | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | AL31343 | AL | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.