Provider Demographics
NPI:1174785562
Name:SENADHI, VIPLOVE (DO)
Entity type:Individual
Prefix:DR
First Name:VIPLOVE
Middle Name:
Last Name:SENADHI
Suffix:
Gender:M
Credentials:DO
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 242848
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36124-2848
Mailing Address - Country:US
Mailing Address - Phone:334-239-7059
Mailing Address - Fax:334-239-7841
Practice Address - Street 1:1722 PINE ST
Practice Address - Street 2:SUITE 801
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36106-1103
Practice Address - Country:US
Practice Address - Phone:334-239-7059
Practice Address - Fax:334-239-7841
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-27
Last Update Date:2016-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALDO.1453207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology