Sunil K Jaiswal, Md | |
107 Main St Collinsville AL 35961 | |
(256) 524-4788 | |
(256) 524-4788 |
Full Name | Sunil K Jaiswal, Md |
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Speciality | Clinic/Center |
Location | 107 Main St, Collinsville, Alabama |
Authorized Official Name and Position | Sunil K Jaiswal (CEO) |
Authorized Official Contact | 2564427594 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Sunil K Jaiswal, Md Po Box 1364 Gadsden AL 35902-1364 Ph: (256) 442-7594 | Sunil K Jaiswal, Md 107 Main St Collinsville AL 35961 Ph: (256) 524-4788 |
NPI Number | 1225159981 |
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Provider Enumeration Date | 04/02/2007 |
Last Update Date | 12/06/2010 |
Medicare PECOS PAC ID | 7911146071 |
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Medicare Enrollment ID | O20130620000524 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225159981 | NPI | - | NPPES |
000094829 | Medicaid | AL | |
000060252 | Medicaid | AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | 22810 (Alabama) | Primary |
Provider Name | Sunil K Jaiswal |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1053367342 PECOS PAC ID: 0941378749 Enrollment ID: I20081007000289 |
Dekalb Clinic South Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13280 County Road 51, Collinsville, AL 35961 Phone: 307-782-7560 | |
Dekalb Clinic South Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13280 County Road 51, Collinsville, AL 35961 Phone: 307-782-7560 | |
Wills Valley Family Medicine Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 13280 County Road 51, Collinsville, AL 35961 Phone: 256-524-3090 Fax: 256-524-2885 |