Ophard K Mupanomunda, MD | |
1303 Dr Martin L King Jr Ave, Mobile, AL 36603-5341 | |
(251) 432-4117 | |
(251) 964-4012 |
Full Name | Ophard K Mupanomunda |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 1303 Dr Martin L King Jr Ave, 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 |
---|---|---|---|
1538356506 | NPI | - | NPPES |
28350 | Other | AL | STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 28350 (Alabama) | Primary |
Entity Name | Medstar Medical Group Ii Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184046187 PECOS PAC ID: 0547413825 Enrollment ID: O20130117000347 |
Mailing Address | Practice Location Address |
---|---|
Ophard K Mupanomunda, MD Po Box 2048, Mobile, AL 36652-2048 Ph: (251) 432-4117 | Ophard K Mupanomunda, MD 1303 Dr Martin L King Jr Ave, Mobile, AL 36603-5341 Ph: (251) 432-4117 |
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 |