| Cyriac Madathikunnel, Md, Llc | |
|
1013 Medical Center Pkwy Frist Howell Building # 3 Selma AL 36701-6742 | |
| (334) 872-3339 | |
| (334) 872-6200 |
| Full Name | Cyriac Madathikunnel, Md, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1013 Medical Center Pkwy, Selma, Alabama |
| Authorized Official Name and Position | Nirmala Madathikunnel (OFFICE MANAGER) |
| Authorized Official Contact | 3348723339 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cyriac Madathikunnel, Md, Llc 1013 Medical Center Pkwy Frist Howell Building # 3 Selma AL 36701-6742 Ph: (334) 872-3339 | Cyriac Madathikunnel, Md, Llc 1013 Medical Center Pkwy Frist Howell Building # 3 Selma AL 36701-6742 Ph: (334) 872-3339 |
| NPI Number | 1063575363 |
|---|---|
| Provider Enumeration Date | 12/18/2006 |
| Last Update Date | 12/10/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063575363 | NPI | - | NPPES |
| 529914120 | Medicaid | AL | |
| 51514539 | Other | AL | BCBS OF ALABAMA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 00019370 (Alabama) | Primary |
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