| Dr Kosi James Avotri, MD | |
|
12701 Padgett Switch Rd, Irvington, AL 36544-4011 | |
| (251) 824-2174 | |
| Not Available |
| Full Name | Dr Kosi James Avotri |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 12701 Padgett Switch Rd, Irvington, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922057645 | NPI | - | NPPES |
| 167989 | Medicaid | AL | |
| 511-92411 | Other | AL | BCBS |
| 200280 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 22397 (Alabama) | Primary |
| Entity Name | Bayou La Batre Area Health Development Board, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396794426 PECOS PAC ID: 3577472810 Enrollment ID: O20040510000323 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kosi James Avotri, MD 12701 Padgett Switch Rd, Irvington, AL 36544-4011 Ph: (251) 824-2174 | Dr Kosi James Avotri, MD 12701 Padgett Switch Rd, Irvington, AL 36544-4011 Ph: (251) 824-2174 |
Dr. Aayushka Gurung, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 12701 Padgett Switch Rd, Irvington, AL 36544 Phone: 251-824-2174 Fax: 251-824-1161 | |
Dr. Susan Jones Ashbee, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 12701 Padgett Switch Rd, Irvington, AL 36544 Phone: 251-824-2174 Fax: 251-824-2286 | |
Dr. Sonia Singh Grevenitis, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 12701 Padgett Switch Rd, Irvington, AL 36544 Phone: 251-824-2174 |