| Luna U Sy, MD, PC | |
|
324 White Ave Ozark AL 36360-0908 | |
| (334) 445-9101 | |
| (334) 445-3501 |
| Full Name | Luna U Sy, MD, PC |
|---|---|
| Speciality | Internal Medicine |
| Location | 324 White Ave, Ozark, Alabama |
| Authorized Official Name and Position | Luna U Sy (OWNER) |
| Authorized Official Contact | 3344459101 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Luna U Sy, MD, PC Po Box 190 Ozark AL 36361-0190 Ph: (334) 445-9101 | Luna U Sy, MD, PC 324 White Ave Ozark AL 36360-0908 Ph: (334) 445-9101 |
| NPI Number | 1770697898 |
|---|---|
| Provider Enumeration Date | 08/18/2006 |
| Last Update Date | 01/15/2010 |
| Medicare PECOS PAC ID | 9739120114 |
|---|---|
| Medicare Enrollment ID | O20050516000792 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770697898 | NPI | - | NPPES |
| 529923920 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Luna U Sy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356455497 PECOS PAC ID: 2264473644 Enrollment ID: I20050518000170 |
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