| Muhammad Amjad, MD | |
|
1508 S Broad St Ste 300, Scottsboro, AL 35768-2668 | |
| (256) 259-3600 | |
| (256) 259-3601 |
| Full Name | Muhammad Amjad |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 1508 S Broad St Ste 300, Scottsboro, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073601340 | NPI | - | NPPES |
| 009907805 | Medicaid | AL | |
| 1073601340 | Medicaid | AL | |
| 1376966416 | Other | AL | GROUP NPI |
| 1021377281 | Other | AL | MEDICARE PTAN |
| 155726 | Medicaid | AL | |
| 51597531 | Other | AL | BLUE CROSS |
| 156513 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 24797 (Alabama) | Primary |
| Entity Name | Scottsboro Quick Care Clinics,inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427241546 PECOS PAC ID: 4486754991 Enrollment ID: O20090810000085 |
| Entity Name | Scottsboro Pediatrics Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376966416 PECOS PAC ID: 1355573551 Enrollment ID: O20140422000043 |
| Mailing Address | Practice Location Address |
|---|---|
| Muhammad Amjad, MD 1508 S Broad St Ste 300, Scottsboro, AL 35768-2668 Ph: (256) 259-3600 | Muhammad Amjad, MD 1508 S Broad St Ste 300, Scottsboro, AL 35768-2668 Ph: (256) 259-3600 |
Dr. Benjamin Freeman, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 23800 John T Reid Pkwy, Scottsboro, AL 35768 Phone: 256-999-0808 Fax: 844-490-5876 | |
Jonathan Wallace Gurr, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 23800 John T. Reid Pkwy, Scottsboro, AL 35769 Phone: 256-997-5900 Fax: 256-997-5995 | |
Dr. Bradley Daily Harris, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 23800 John T Reid Pkwy, Scottsboro, AL 35768 Phone: 256-999-0808 Fax: 844-490-5876 | |
Dr. Dennis John Basila, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 23800 John T Reid Pkwy, Scottsboro, AL 35768 Phone: 256-999-0808 Fax: 844-490-5876 | |
Dr. Ethan Baruch Ruben, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 508 Harley St, Suite C, Scottsboro, AL 35768 Phone: 256-259-5537 Fax: 256-259-3189 | |
Dr. Olivia Elliott Peters, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 23800 John T Reid Pkwy, Scottsboro, AL 35768 Phone: 256-999-0808 Fax: 844-490-5876 |