Abidi Family Practice Llc | |
401 Lowell Dr Se Ste 19 Huntsville AL 35801-3738 | |
(256) 801-8649 | |
(256) 270-8175 |
Full Name | Abidi Family Practice Llc |
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Speciality | Family Medicine |
Location | 401 Lowell Dr Se Ste 19, Huntsville, Alabama |
Authorized Official Name and Position | Rakhshanda Khan (OWNER) |
Authorized Official Contact | 2568018649 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Abidi Family Practice Llc 401 Lowell Dr Se Ste 19 Huntsville AL 35801-3738 Ph: (256) 801-8649 | Abidi Family Practice Llc 401 Lowell Dr Se Ste 19 Huntsville AL 35801-3738 Ph: (256) 801-8649 |
NPI Number | 1760061337 |
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Provider Enumeration Date | 04/02/2021 |
Last Update Date | 07/13/2023 |
Medicare PECOS PAC ID | 3375951718 |
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Medicare Enrollment ID | O20210422002965 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760061337 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Rakhshanda A Khan |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1306105341 PECOS PAC ID: 8123257029 Enrollment ID: I20150810002937 |
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