Cardinal Medical Group Llc | |
185 Whitesport Dr Sw Ste 1 Huntsville AL 35801-6487 | |
(562) 131-0312 | |
(800) 765-1229 |
Full Name | Cardinal Medical Group Llc |
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Speciality | Family Medicine |
Location | 185 Whitesport Dr Sw Ste 1, Huntsville, Alabama |
Authorized Official Name and Position | Sunitha A Ghanta (MD/OWNER) |
Authorized Official Contact | 2562131031 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Cardinal Medical Group Llc 185 Whitesport Dr Sw Ste 1 Huntsville AL 35801-6487 Ph: (256) 213-1031 | Cardinal Medical Group Llc 185 Whitesport Dr Sw Ste 1 Huntsville AL 35801-6487 Ph: (562) 131-0312 |
NPI Number | 1457654840 |
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Provider Enumeration Date | 12/07/2010 |
Last Update Date | 07/27/2022 |
Medicare PECOS PAC ID | 4587845193 |
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Medicare Enrollment ID | O20110301001001 |
Identifier | Type | State | Issuer |
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1457654840 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 29794 (Alabama) | Primary |
Provider Name | Sunitha A Ghanta |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1194935155 PECOS PAC ID: 2567594880 Enrollment ID: I20100721000646 |
Provider Name | Heather Lauren Simmons |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265192959 PECOS PAC ID: 6002200813 Enrollment ID: I20220221001641 |
Bptcare Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 311 Longwood Dr, Sw, Huntsville, AL 35801 Phone: 256-534-5946 Fax: 256-534-3041 | |
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Gleneagles Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1102 Gleneagles Dr Sw, Huntsville, AL 35801 Phone: 256-881-5880 Fax: 256-883-3280 | |
Magnolia Primary Care Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4245 Balmoral Dr Sw Ste 102, Huntsville, AL 35801 Phone: 256-203-6676 Fax: 833-979-0980 | |
Five Points Family Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 502 Pratt Ave Ne, Huntsville, AL 35801 Phone: 256-714-3363 | |
Davis Medical Group, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7850 Memorial Pkwy Sw, Huntsville, AL 35802 Phone: 256-882-0132 Fax: 256-882-1461 | |
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