| Dibyajiban Mahapatra,m.d.,p.c. | |
|
185 Whitesports Drive Suite No. 7 Huntsville AL 35801 | |
| (256) 883-6966 | |
| (256) 883-6432 |
| Full Name | Dibyajiban Mahapatra,m.d.,p.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 185 Whitesports Drive, Huntsville, Alabama |
| Authorized Official Name and Position | Dibyajiban Mahapatra (PHYSICIAN) |
| Authorized Official Contact | 2568836966 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dibyajiban Mahapatra,m.d.,p.c. 16025 Michelle Drive Huntsville AL 35803 Ph: (256) 883-6125 | Dibyajiban Mahapatra,m.d.,p.c. 185 Whitesports Drive Suite No. 7 Huntsville AL 35801 Ph: (256) 883-6966 |
| NPI Number | 1548318645 |
|---|---|
| Provider Enumeration Date | 01/08/2007 |
| Last Update Date | 09/09/2008 |
| Medicare PECOS PAC ID | 7315011962 |
|---|---|
| Medicare Enrollment ID | O20080731000203 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548318645 | NPI | - | NPPES |
| 529911790 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 20939 (Alabama) | Primary |
| Provider Name | Dibyajiban Mahapatra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639163769 PECOS PAC ID: 3375435175 Enrollment ID: I20040326000650 |
Bptcare Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 311 Longwood Dr, Sw, Huntsville, AL 35801 Phone: 256-534-5946 Fax: 256-534-3041 | |
Inspirational Counseling Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4100 Market St Ste 100, Huntsville, AL 35808 Phone: 256-210-4925 | |
Gleneagles Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1102 Gleneagles Dr Sw, Huntsville, AL 35801 Phone: 256-881-5880 Fax: 256-883-3280 | |
Magnolia Primary Care Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4245 Balmoral Dr Sw Ste 102, Huntsville, AL 35801 Phone: 256-203-6676 Fax: 833-979-0980 | |
Five Points Family Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 502 Pratt Ave Ne, Huntsville, AL 35801 Phone: 256-714-3363 | |
Davis Medical Group, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7850 Memorial Pkwy Sw, Huntsville, AL 35802 Phone: 256-882-0132 Fax: 256-882-1461 | |
Crestani Family Medicine, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2745 Bob Wallace Ave Sw, Suite D, Huntsville, AL 35805 Phone: 256-534-1323 Fax: 256-534-1780 |