| Pelham Internal Medicine Llc | |
|
2156 Highway 52 East Suite 100 Pelham AL 35124 | |
| (205) 747-2273 | |
| Not Available |
| Full Name | Pelham Internal Medicine Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2156 Highway 52 East, Pelham, Alabama |
| Authorized Official Name and Position | Bela Patel (PHYSICIAN OWNER) |
| Authorized Official Contact | 2053298590 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pelham Internal Medicine Llc Po Box 660364 Vestavia AL 35266-0364 Ph: () - | Pelham Internal Medicine Llc 2156 Highway 52 East Suite 100 Pelham AL 35124 Ph: (205) 747-2273 |
| NPI Number | 1881223162 |
|---|---|
| Provider Enumeration Date | 04/07/2020 |
| Last Update Date | 04/10/2020 |
| Medicare PECOS PAC ID | 9537580691 |
|---|---|
| Medicare Enrollment ID | O20200528002673 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881223162 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Bela Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255593901 PECOS PAC ID: 3779752589 Enrollment ID: I20110812000226 |
| Provider Name | Ashley F Cavender |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861802308 PECOS PAC ID: 8820373145 Enrollment ID: I20170328001636 |
| Provider Name | Shelby Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720703663 PECOS PAC ID: 3971971698 Enrollment ID: I20221130000223 |
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