Provider Demographics
NPI:1871513382
Name:STOVES, ANDREE G (MD)
Entity type:Individual
Prefix:
First Name:ANDREE
Middle Name:G
Last Name:STOVES
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:PO BOX 55310
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35255-5310
Mailing Address - Country:US
Mailing Address - Phone:205-731-9701
Mailing Address - Fax:
Practice Address - Street 1:619 19TH STREET SOUTH
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35233
Practice Address - Country:US
Practice Address - Phone:205-934-6600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2011-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL153472084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALE47820OtherVIVA
AL000046727OtherBLUE CROSS
AL051110399OtherBLUE CROSS
AL051501484OtherBC FEDERAL EHBP
AL330500483OtherMEDICAID REHAB
AL051591091OtherBLUE CROSS
AL103659Medicaid
AL000046727Medicaid
AL102100Medicaid
AL127073Medicaid
AL009910861Medicaid
AL009975985Medicaid
AL051543059OtherBLUE CROSS
AL051525656OtherBLUE CROSS
AL051549130OtherBLUE CROSS
AL123256Medicaid
AL51114507OtherBLUE CROSS
AL009975985Medicaid
AL000046727Medicaid