Dr Ritky C Dy Medical Clinic, Llc | |
1221 7th St S Clanton AL 35045-3723 | |
(205) 280-6789 | |
(205) 280-1350 |
Full Name | Dr Ritky C Dy Medical Clinic, Llc |
---|---|
Speciality | Family Medicine |
Location | 1221 7th St S, Clanton, Alabama |
Authorized Official Name and Position | Ritky C Dy (OWNER) |
Authorized Official Contact | 2052806789 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Dr Ritky C Dy Medical Clinic, Llc Po Box 109 Clanton AL 35046-0109 Ph: (205) 280-6789 | Dr Ritky C Dy Medical Clinic, Llc 1221 7th St S Clanton AL 35045-3723 Ph: (205) 280-6789 |
NPI Number | 1083758338 |
---|---|
Provider Enumeration Date | 02/19/2007 |
Last Update Date | 02/22/2022 |
Medicare PECOS PAC ID | 8820242092 |
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Medicare Enrollment ID | O20130218000240 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083758338 | NPI | - | NPPES |
000093998 | Medicaid | AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 18537 (Alabama) | Primary |
Provider Name | Ritky Dy |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1487708145 PECOS PAC ID: 9739333907 Enrollment ID: I20130218000252 |
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