| Dlw Medical Group | |
|
216 Aquarius Dr Ste 310 Homewood AL 35209-5868 | |
| (205) 994-8266 | |
| Not Available |
| Full Name | Dlw Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 216 Aquarius Dr Ste 310, Homewood, Alabama |
| Authorized Official Name and Position | Sasank Peramsetty (MEDICAL DIRECTOR) |
| Authorized Official Contact | 2566932199 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dlw Medical Group 216 Aquarius Dr Ste 310 Homewood AL 35209-5868 Ph: (256) 693-2199 | Dlw Medical Group 216 Aquarius Dr Ste 310 Homewood AL 35209-5868 Ph: (205) 994-8266 |
| NPI Number | 1215829809 |
|---|---|
| Provider Enumeration Date | 07/17/2025 |
| Last Update Date | 04/13/2026 |
| Certification Date | 04/13/2026 |
| Medicare PECOS PAC ID | 6204316862 |
|---|---|
| Medicare Enrollment ID | O20260213001831 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215829809 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | () | Secondary |
| Provider Name | Sasank Raheel Peramsetty |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225666175 PECOS PAC ID: 5294133740 Enrollment ID: I20230829000616 |
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