Dr Katherine Dougherty-basila, MD | |
460 Al Highway 75 N, Albertville, AL 35951-3838 | |
(256) 891-7461 | |
(256) 891-7461 |
Full Name | Dr Katherine Dougherty-basila |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 460 Al Highway 75 N, Albertville, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225229255 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 244455 (New York) | Secondary |
208000000X | Pediatrics | 43730 (Tennessee) | Secondary |
208000000X | Pediatrics | 38700 (Alabama) | Primary |
Entity Name | Albany Medical College |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629008537 PECOS PAC ID: 1759293111 Enrollment ID: O20031125000386 |
Mailing Address | Practice Location Address |
---|---|
Dr Katherine Dougherty-basila, MD 460 Al Highway 75 N, Albertville, AL 35951-3838 Ph: (256) 891-0300 | Dr Katherine Dougherty-basila, MD 460 Al Highway 75 N, Albertville, AL 35951-3838 Ph: (256) 891-7461 |
Indu Prasadh, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 460 Al Highway 75 N, Albertville, AL 35951 Phone: 256-891-0300 Fax: 256-891-0300 | |
Dr. Lisa Lissette Burroughs-thumi, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 460 Al Highway 75 N, Albertville, AL 35951 Phone: 256-891-0300 Fax: 256-891-7461 | |
Zenaida V Pua, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 203 N Emmett St, Albertville, AL 35950 Phone: 256-891-0300 Fax: 256-891-7461 |