Provider Demographics
NPI:1366268211
Name:MONARCH MEDICAL LLC
Entity type:Organization
Organization Name:MONARCH MEDICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MADHAV
Authorized Official - Middle Name:
Authorized Official - Last Name:DEVANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:205-563-8535
Mailing Address - Street 1:4398 BOULDER LAKE CIR
Mailing Address - Street 2:
Mailing Address - City:VESTAVIA
Mailing Address - State:AL
Mailing Address - Zip Code:35242-2113
Mailing Address - Country:US
Mailing Address - Phone:205-563-8535
Mailing Address - Fax:
Practice Address - Street 1:4398 BOULDER LAKE CIR
Practice Address - Street 2:
Practice Address - City:VESTAVIA
Practice Address - State:AL
Practice Address - Zip Code:35242-2113
Practice Address - Country:US
Practice Address - Phone:205-563-8535
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-25
Last Update Date:2025-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty
No208M00000XAllopathic & Osteopathic PhysiciansHospitalistGroup - Multi-Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/CenterGroup - Multi-Specialty
No261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty