| Smitha Rao Persaud, M.d., L.l.c. | |
|
1425 Weatherly Rd Se Huntsville AL 35803-1178 | |
| (256) 881-5770 | |
| (256) 882-1410 |
| Full Name | Smitha Rao Persaud, M.d., L.l.c. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1425 Weatherly Rd Se, Huntsville, Alabama |
| Authorized Official Name and Position | Smitha Rao Persaud (M.D. - OWNER) |
| Authorized Official Contact | 2568815770 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Smitha Rao Persaud, M.d., L.l.c. 1425 Weatherly Rd Se Huntsville AL 35803-1178 Ph: (256) 881-5770 | Smitha Rao Persaud, M.d., L.l.c. 1425 Weatherly Rd Se Huntsville AL 35803-1178 Ph: (256) 881-5770 |
| NPI Number | 1750604633 |
|---|---|
| Provider Enumeration Date | 03/08/2010 |
| Last Update Date | 03/01/2012 |
| Medicare PECOS PAC ID | 0941337497 |
|---|---|
| Medicare Enrollment ID | O20100415000105 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750604633 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 27397 (Alabama) | Primary |
| Provider Name | Smitha R Persaud |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770629131 PECOS PAC ID: 7517062169 Enrollment ID: I20070410000665 |
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