Smitha Rao Persaud, M.d., L.l.c. | |
1425 Weatherly Rd Se Huntsville AL 35803-1178 | |
(256) 881-5770 | |
(256) 882-1410 |
Full Name | Smitha Rao Persaud, M.d., L.l.c. |
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Speciality | Psychiatry & Neurology |
Location | 1425 Weatherly Rd Se, Huntsville, Alabama |
Authorized Official Name and Position | Smitha Rao Persaud (M.D. - OWNER) |
Authorized Official Contact | 2568815770 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Smitha Rao Persaud, M.d., L.l.c. 1425 Weatherly Rd Se Huntsville AL 35803-1178 Ph: (256) 881-5770 | Smitha Rao Persaud, M.d., L.l.c. 1425 Weatherly Rd Se Huntsville AL 35803-1178 Ph: (256) 881-5770 |
NPI Number | 1750604633 |
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Provider Enumeration Date | 03/08/2010 |
Last Update Date | 03/01/2012 |
Medicare PECOS PAC ID | 0941337497 |
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Medicare Enrollment ID | O20100415000105 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750604633 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2084N0400X | Psychiatry & Neurology - Neurology | 27397 (Alabama) | Primary |
Provider Name | Smitha R Persaud |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1770629131 PECOS PAC ID: 7517062169 Enrollment ID: I20070410000665 |
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