Dr Srihari Das Kanuru, MD | |
234 Keller Park Blvd, Tuscumbia, AL 35674-1417 | |
(256) 386-4300 | |
(256) 314-4472 |
Full Name | Dr Srihari Das Kanuru |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 234 Keller Park Blvd, Tuscumbia, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306833744 | NPI | - | NPPES |
000003370 | Medicaid | AL | |
051003370 | Other | AL | BLUE CROSS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 00007320 (Alabama) | Primary |
Entity Name | Northwest Emergency Physician Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205197951 PECOS PAC ID: 8628224425 Enrollment ID: O20120810000153 |
Mailing Address | Practice Location Address |
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Dr Srihari Das Kanuru, MD 234 Keller Park Blvd, Tuscumbia, AL 35674-1417 Ph: (256) 386-4300 | Dr Srihari Das Kanuru, MD 234 Keller Park Blvd, Tuscumbia, AL 35674-1417 Ph: (256) 386-4300 |
Dr. Christy Auburn Alley, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 234 Keller Park Blvd, Tuscumbia, AL 35674 Phone: 256-381-6963 Fax: 256-381-6018 | |
Adrienne A. Shuler, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 234 Keller Park Blvd, Tuscumbia, AL 35674 Phone: 256-381-6963 Fax: 256-381-6018 | |
Alisha Danielle Holt, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 234 Keller Park Blvd, Tuscumbia, AL 35674 Phone: 256-381-6963 |