Affinity Primary Care Llc | |
1010 Airport Rd Sw Ste C Huntsville AL 35802-1478 | |
(256) 824-9966 | |
(256) 242-1022 |
Full Name | Affinity Primary Care Llc |
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Speciality | Family Medicine |
Location | 1010 Airport Rd Sw Ste C, Huntsville, Alabama |
Authorized Official Name and Position | Prasanna Kumar Allada (OWNER/ PHYSICIAN) |
Authorized Official Contact | 2567011435 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Affinity Primary Care Llc 2120 Springhouse Rd Se Huntsville AL 35802-1869 Ph: (256) 701-1435 | Affinity Primary Care Llc 1010 Airport Rd Sw Ste C Huntsville AL 35802-1478 Ph: (256) 824-9966 |
NPI Number | 1326758525 |
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Provider Enumeration Date | 11/29/2022 |
Last Update Date | 02/23/2023 |
Medicare PECOS PAC ID | 8628448446 |
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Medicare Enrollment ID | O20230111002584 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326758525 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Kandess Johnson Anderson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275764755 PECOS PAC ID: 2365566098 Enrollment ID: I20100901000358 |
Provider Name | Prasanna Allada |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1902197825 PECOS PAC ID: 3476772898 Enrollment ID: I20140917002461 |
Provider Name | Bethany Giudici Jessee |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336698414 PECOS PAC ID: 3870860331 Enrollment ID: I20210628003106 |
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