| Dr Katherine Dougherty-basila, MD | |
|
460 Al Highway 75 N, Albertville, AL 35951-3838 | |
| (256) 891-7461 | |
| (256) 891-7461 |
| Full Name | Dr Katherine Dougherty-basila |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 460 Al Highway 75 N, Albertville, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225229255 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 244455 (New York) | Secondary |
| 208000000X | Pediatrics | 43730 (Tennessee) | Secondary |
| 208000000X | Pediatrics | 38700 (Alabama) | Primary |
| Entity Name | Albany Medical College |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629008537 PECOS PAC ID: 1759293111 Enrollment ID: O20031125000386 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Katherine Dougherty-basila, MD 460 Al Highway 75 N, Albertville, AL 35951-3838 Ph: (256) 891-0300 | Dr Katherine Dougherty-basila, MD 460 Al Highway 75 N, Albertville, AL 35951-3838 Ph: (256) 891-7461 |
Indu Prasadh, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 460 Al Highway 75 N, Albertville, AL 35951 Phone: 256-891-0300 Fax: 256-891-0300 | |
Dr. Lisa Lissette Burroughs-thumi, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 460 Al Highway 75 N, Albertville, AL 35951 Phone: 256-891-0300 Fax: 256-891-7461 | |
Zenaida V Pua, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 203 N Emmett St, Albertville, AL 35950 Phone: 256-891-0300 Fax: 256-891-7461 |