Provider Demographics
NPI:1437392974
Name:DAVES, MARLA H (MD)
Entity type:Individual
Prefix:
First Name:MARLA
Middle Name:H
Last Name:DAVES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:910 ADAMS ST SE STE 310
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-3757
Mailing Address - Country:US
Mailing Address - Phone:256-265-5833
Mailing Address - Fax:
Practice Address - Street 1:910 ADAMS ST SE STE 310
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-3757
Practice Address - Country:US
Practice Address - Phone:256-265-5833
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-04-14
Last Update Date:2025-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN687192080P0207X
AL263832080P0207X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0207XAllopathic & Osteopathic PhysiciansPediatricsPediatric Hematology-Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA003112883Medicaid
GA003112883Medicaid