| Caremed Weight Loss - Alabama Llc | |
|
2870 Montgomery Hwy Dothan AL 36303-2606 | |
| (334) 500-5500 | |
| (334) 500-5550 |
| Full Name | Caremed Weight Loss - Alabama Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2870 Montgomery Hwy, Dothan, Alabama |
| Authorized Official Name and Position | Murali Maddipati (OWNER) |
| Authorized Official Contact | 8505263314 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Caremed Weight Loss - Alabama Llc 2870 Montgomery Hwy Dothan AL 36303-2606 Ph: (334) 500-5500 | Caremed Weight Loss - Alabama Llc 2870 Montgomery Hwy Dothan AL 36303-2606 Ph: (334) 500-5500 |
| NPI Number | 1386458552 |
|---|---|
| Provider Enumeration Date | 02/06/2025 |
| Last Update Date | 02/18/2025 |
| Medicare PECOS PAC ID | 0446770440 |
|---|---|
| Medicare Enrollment ID | O20250220002728 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386458552 | NPI | - | NPPES |
| Provider Name | Tara Suzannah Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396586822 PECOS PAC ID: 8325589229 Enrollment ID: I20250221002250 |
| Provider Name | Murali Krishna Maddipati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285814541 PECOS PAC ID: 3274666805 Enrollment ID: I20250306003169 |
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