| Northern Alabama Internists, P.c. | |
|
250 Chateau Dr Sw Suite 235 Huntsville AL 35801-6436 | |
| (256) 503-0940 | |
| Not Available |
| Full Name | Northern Alabama Internists, P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 250 Chateau Dr Sw, Huntsville, Alabama |
| Authorized Official Name and Position | Varun R. Puducheri (OWNER / PHYSICIAN) |
| Authorized Official Contact | 2565030940 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northern Alabama Internists, P.c. 250 Chateau Dr Sw Suite 235 Huntsville AL 35801-6436 Ph: (256) 503-0940 | Northern Alabama Internists, P.c. 250 Chateau Dr Sw Suite 235 Huntsville AL 35801-6436 Ph: (256) 503-0940 |
| NPI Number | 1174785281 |
|---|---|
| Provider Enumeration Date | 06/30/2008 |
| Last Update Date | 06/30/2008 |
| Medicare PECOS PAC ID | 7618040130 |
|---|---|
| Medicare Enrollment ID | O20080716000804 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174785281 | NPI | - | NPPES |
| PENDING | Medicaid | AL | |
| PENDING | Other | AL | BCBS OF AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Varun R Puducheri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700083482 PECOS PAC ID: 5597853606 Enrollment ID: I20071126000456 |
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