Primary Care Pediatrics And Family Medicine, P.c | |
29869 Capshaw Road Harvest AL 35749 | |
(256) 262-1040 | |
(256) 325-2180 |
Full Name | Primary Care Pediatrics And Family Medicine, P.c |
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Speciality | Pediatrics |
Location | 29869 Capshaw Road, Harvest, Alabama |
Authorized Official Name and Position | Shraddha Shrestha (CEO) |
Authorized Official Contact | 2564253668 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Primary Care Pediatrics And Family Medicine, P.c Po Box 269 Capshaw AL 35742-0269 Ph: (256) 262-1040 | Primary Care Pediatrics And Family Medicine, P.c 29869 Capshaw Road Harvest AL 35749 Ph: (256) 262-1040 |
NPI Number | 1083078596 |
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Provider Enumeration Date | 04/11/2016 |
Last Update Date | 09/02/2016 |
Medicare PECOS PAC ID | 2668769308 |
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Medicare Enrollment ID | O20160923002152 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083078596 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
208000000X | Pediatrics | (* (Not Available)) | Primary |
Provider Name | Shraddha Shrestha |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1659564748 PECOS PAC ID: 8123169539 Enrollment ID: I20100107000441 |
Provider Name | Binod Bista |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1073769493 PECOS PAC ID: 3274705835 Enrollment ID: I20111004000759 |
Capshaw Family Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 27669 Capshaw Rd Ste A2, Harvest, AL 35749 Phone: 256-216-1996 Fax: 256-216-1940 | |
East Limestone Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15024 E Limestone Rd, Suite F, Harvest, AL 35749 Phone: 256-233-4886 Fax: 256-233-4522 | |
Covenant Family Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2838 Jeff Rd, Suite D, Harvest, AL 35749 Phone: 256-425-8004 | |
Tennessee Valley Lung Care, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 27669 Capshaw Rd., A2, Harvest, AL 35749 Phone: 256-232-0667 Fax: 256-232-0557 |