Decatur Digestive Diseases Pc | |
2828 Hwy 31 South Suite 117 Decatur AL 35602 | |
(256) 351-2116 | |
(256) 351-2128 |
Full Name | Decatur Digestive Diseases Pc |
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Speciality | Internal Medicine |
Location | 2828 Hwy 31 South, Decatur, Alabama |
Authorized Official Name and Position | Venkata R B Kantamnemi (PRESIDENT) |
Authorized Official Contact | 2563512116 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Decatur Digestive Diseases Pc Po Box 3017 2828 Hwy 31 South Suite 117 Decatur AL 35602 Ph: (256) 351-2116 | Decatur Digestive Diseases Pc 2828 Hwy 31 South Suite 117 Decatur AL 35602 Ph: (256) 351-2116 |
NPI Number | 1245313519 |
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Provider Enumeration Date | 10/23/2006 |
Last Update Date | 06/08/2010 |
Medicare PECOS PAC ID | 4385618784 |
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Medicare Enrollment ID | O20040823000306 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245313519 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
Provider Name | Thomas Short |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1144219148 PECOS PAC ID: 9830186311 Enrollment ID: I20050906000712 |
Provider Name | Jeanette Keith |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1124180674 PECOS PAC ID: 4587649793 Enrollment ID: I20070507000168 |
Provider Name | Venkata B Kantamneni |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1851377527 PECOS PAC ID: 6800860206 Enrollment ID: I20110203000446 |
Provider Name | Manish Arora |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1669500708 PECOS PAC ID: 1355516451 Enrollment ID: I20111219000022 |
Provider Name | Michael Kelso |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1679868277 PECOS PAC ID: 2062781743 Enrollment ID: I20190124003595 |
Provider Name | Julie Monteiro-pai |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316503808 PECOS PAC ID: 0042549560 Enrollment ID: I20190909003747 |
Provider Name | Katelyn Breanna Hood |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700552015 PECOS PAC ID: 2860880721 Enrollment ID: I20211026000778 |
Michael A. Henngian, M.d., P.c Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1310 14th Ave Se, Decatur, AL 35601 Phone: 256-351-1990 | |
Whitfield Family Practice Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2828 Highway 31 S Ste 111, Decatur, AL 35603 Phone: 256-686-3456 | |
Decatur Gastroenterology Associates Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1103 15th Ave Se, Decatur, AL 35601 Phone: 256-350-0153 Fax: 256-350-0156 | |
M. Neel Roberts, M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1215 7th St Se, Suite 120, Decatur, AL 35601 Phone: 256-341-0715 Fax: 256-341-0229 | |
Decatur Internal Medicine Center, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2506 Danville Rd Sw, Suite 101, Decatur, AL 35603 Phone: 256-350-6363 Fax: 256-350-6855 | |
Internal Medicine Partners Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1501 7th St Se, Decatur, AL 35601 Phone: 256-350-6182 Fax: 256-350-6184 | |
Dba River Oaks Family Medicine And Urgent Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1813 Beltline Rd Sw, Decatur, AL 35601 Phone: 256-353-6874 |