| Mr Mihir M Pradhan, MD | |
|
2105 E South Blvd, Baptist Medical Center South, Montgomery, AL 36116-2409 | |
| (334) 286-2987 | |
| (334) 286-3368 |
| Full Name | Mr Mihir M Pradhan |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 2105 E South Blvd, Montgomery, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043401821 | NPI | - | NPPES |
| 630902090 | Medicaid | AL | |
| 515-98983 | Other | AL | BLUE CROSS/BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD28297 (Alabama) | Secondary |
| 207Q00000X | Family Medicine | MD.28297 (Alabama) | Primary |
| Entity Name | Jackson Hospital And Clinic, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073264107 PECOS PAC ID: 0547254153 Enrollment ID: O20040414000971 |
| Entity Name | Paragon Contracting Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225071459 PECOS PAC ID: 3971417825 Enrollment ID: O20050218000756 |
| Entity Name | Emergency Services Of Montgomery Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528310323 PECOS PAC ID: 6608028204 Enrollment ID: O20121205000519 |
| Entity Name | Hospital Physician Services - Southeast Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760410385 PECOS PAC ID: 5597774554 Enrollment ID: O20140219000913 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Mihir M Pradhan, MD 440 Taylor Road, Suite 3380, Montgomery, AL 36117-3587 Ph: (334) 213-6287 | Mr Mihir M Pradhan, MD 2105 E South Blvd, Baptist Medical Center South, Montgomery, AL 36116-2409 Ph: (334) 286-2987 |
Thavatchai Chamnongchareonwong, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8300 Crossland Loop, Montgomery, AL 36117 Phone: 334-239-8939 Fax: 334-239-8918 | |
Dr. Mohammad Irfan, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 440 Taylor Rd, Suite 3380, Montgomery, AL 36117 Phone: 334-213-6287 Fax: 334-213-6288 | |
Claire Casey, NP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 Taylor Rd, Montgomery, AL 36117 Phone: 334-747-8448 | |
Dr. Belfondia Pou, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2031 Normandie Dr, Montgomery, AL 36111 Phone: 334-284-6755 Fax: 334-284-6756 | |
Nandini Yashwanti Ramroop, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 2055 E South Blvd, Suite 308, Montgomery, AL 36116 Phone: 334-286-2390 Fax: 334-286-2397 | |
Trupti Nadkar, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4371 Narrow Lane Rd Ste 100, Montgomery, AL 36116 Phone: 334-747-3680 Fax: 334-747-7880 |