| Gastrocare PC | |
|
100 Rice Mine Rd N Ste E Tuscaloosa AL 35406-2375 | |
| (205) 345-0010 | |
| (205) 986-0081 |
| Full Name | Gastrocare PC |
|---|---|
| Speciality | Internal Medicine |
| Location | 100 Rice Mine Rd N Ste E, Tuscaloosa, Alabama |
| Authorized Official Name and Position | Adisesha B Reddy (PROVIDER/OWNER) |
| Authorized Official Contact | 2053450010 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gastrocare PC 100 Rice Mine Rd N Ste E Tuscaloosa AL 35406-2375 Ph: (205) 345-0010 | Gastrocare PC 100 Rice Mine Rd N Ste E Tuscaloosa AL 35406-2375 Ph: (205) 345-0010 |
| NPI Number | 1114039872 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 4981687712 |
|---|---|
| Medicare Enrollment ID | O20040611000282 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114039872 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | () | Primary |
| Provider Name | Adisesha B Reddy |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1407968167 PECOS PAC ID: 1557344397 Enrollment ID: I20040611000437 |
| Provider Name | Rekha Khurana |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1437396108 PECOS PAC ID: 5890951248 Enrollment ID: I20120730000487 |
| Provider Name | Kami Alyss Perry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053183376 PECOS PAC ID: 9335582337 Enrollment ID: I20240207000222 |
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