| Laxmi Llc | |
|
47005 Al Highway 277 Bridgeport AL 35740-7205 | |
| (256) 437-9700 | |
| (256) 437-8303 |
| Full Name | Laxmi Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 47005 Al Highway 277, Bridgeport, Alabama |
| Authorized Official Name and Position | T. Murali Mohan (PRESIDENT) |
| Authorized Official Contact | 2564952379 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Laxmi Llc Po Box 920 Bridgeport AL 35740-0920 Ph: (256) 437-9700 | Laxmi Llc 47005 Al Highway 277 Bridgeport AL 35740-7205 Ph: (256) 437-9700 |
| NPI Number | 1124174917 |
|---|---|
| Provider Enumeration Date | 01/26/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 5799884151 |
|---|---|
| Medicare Enrollment ID | O20070626000253 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124174917 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Asha P Mohan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245386093 PECOS PAC ID: 9335248525 Enrollment ID: I20070629000155 |
| Provider Name | T Murali Mohan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609922467 PECOS PAC ID: 4880793074 Enrollment ID: I20070629000255 |
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Evernorth Direct Health Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 202 Jacobs Ave, Bridgeport, AL 35740 Phone: 256-495-2928 Fax: 256-495-2928 | |
Tennessee Valley Family Practice Associates Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 47053 Al Highway 277, Suite C, Bridgeport, AL 35740 Phone: 256-437-0555 | |
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