Mrs Vimla Praveni Bhagwandin, MD | |
6908 Providence Park Dr S, Mobile, AL 36695-4600 | |
(251) 660-3490 | |
(251) 660-3491 |
Full Name | Mrs Vimla Praveni Bhagwandin |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 6908 Providence Park Dr S, Mobile, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467632521 | NPI | - | NPPES |
515-45281 | Other | BLUE CROSS AND BLUE SHIELD OF ALABAMA | |
631500075 | Medicaid | AL | |
510I37000 | Other | AL | MEDICARE PECOS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 28261 (Alabama) | Primary |
Entity Name | Altapointe Health Systems Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518095413 PECOS PAC ID: 1052224052 Enrollment ID: O20040206000701 |
Entity Name | Alabama Providence Healthcare Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245669514 PECOS PAC ID: 9638308430 Enrollment ID: O20140127000341 |
Mailing Address | Practice Location Address |
---|---|
Mrs Vimla Praveni Bhagwandin, MD 6908 Providence Park Dr S, Mobile, AL 36695-4600 Ph: (251) 660-3490 | Mrs Vimla Praveni Bhagwandin, MD 6908 Providence Park Dr S, Mobile, AL 36695-4600 Ph: (251) 660-3490 |
Ladonna M. Crews, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1601 Center St, Ste 1n, Mobile, AL 36604 Phone: 251-410-5437 Fax: 251-434-3802 | |
Charlotte Steelman Macdonell, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1601 Center St Ste 1n, Mobile, AL 36604 Phone: 251-410-5437 Fax: 251-434-3802 | |
Dr. Melissa Leigh Peters, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1700 Center St, Mobile, AL 36604 Phone: 251-415-1000 Fax: 251-415-1001 | |
Dr. Kalsang Dolma, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1700 Center St, Mobile, AL 36604 Phone: 251-415-1055 Fax: 251-415-1045 | |
Mrs. Robin C Mcnair, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3719 Dauphin St, Ste 102, Mobile, AL 36608 Phone: 251-344-1502 Fax: 251-342-1116 | |
Daniel T Mccall Iii, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 248 Cox St, Suite A, Mobile, AL 36604 Phone: 251-405-4524 Fax: 251-405-4521 | |
Dr. Stephanie Jeanine Anderson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1601 Center St, Mobile, AL 36604 Phone: 251-410-5437 Fax: 251-415-8578 |