Dr Ritu Chandra, MD | |
3700 S Railroad St, Suite A, Phenix City, AL 36867-2993 | |
(334) 664-0463 | |
(334) 664-0466 |
Full Name | Dr Ritu Chandra |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 3700 S Railroad St, Phenix City, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003890849 | NPI | - | NPPES |
009940757 | Medicaid | AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080A0000X | Pediatrics - Adolescent Medicine | 26862 (Alabama) | Secondary |
208000000X | Pediatrics | MD26862 (Alabama) | Primary |
Entity Name | Pinnacle Enterprises Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447374640 PECOS PAC ID: 4486816048 Enrollment ID: O20120427000473 |
Mailing Address | Practice Location Address |
---|---|
Dr Ritu Chandra, MD 3700 S Railroad St, Suite A, Phenix City, AL 36867-2993 Ph: (334) 664-0463 | Dr Ritu Chandra, MD 3700 S Railroad St, Suite A, Phenix City, AL 36867-2993 Ph: (334) 664-0463 |
Willis Mccoy Privott Jr., M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1610 Opelika Rd, Phenix City, AL 36867 Phone: 334-291-0221 Fax: 334-291-1939 | |
Mona Abdelmoneim, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3700 South Railroad Street, Suite A, Phenix City, AL 36867 Phone: 334-664-0463 Fax: 334-664-0466 |