| G.s,rao,m.d,p.c | |
|
1425 Weatherly Rd Se Huntsville AL 35803-1178 | |
| (256) 881-1111 | |
| Not Available |
| Full Name | G.s,rao,m.d,p.c |
|---|---|
| Speciality | Clinic/Center |
| Location | 1425 Weatherly Rd Se, Huntsville, Alabama |
| Authorized Official Name and Position | Gorantla S Rao (OWNER) |
| Authorized Official Contact | 2568811111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| G.s,rao,m.d,p.c 1425 Weatherly Rd Se Huntsville AL 35803-1178 Ph: () - | G.s,rao,m.d,p.c 1425 Weatherly Rd Se Huntsville AL 35803-1178 Ph: (256) 881-1111 |
| NPI Number | 1114263746 |
|---|---|
| Provider Enumeration Date | 01/01/2013 |
| Last Update Date | 11/19/2019 |
| Medicare PECOS PAC ID | 1355588500 |
|---|---|
| Medicare Enrollment ID | O20130508000312 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114263746 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 8243 (Alabama) | Primary |
| Provider Name | Gorantla S Rao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578518031 PECOS PAC ID: 1456481423 Enrollment ID: I20100617000814 |
| Provider Name | Nichole M Allegood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255618286 PECOS PAC ID: 3274700778 Enrollment ID: I20131022000048 |
| Provider Name | Jill Hudnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801331491 PECOS PAC ID: 7517234677 Enrollment ID: I20170522001983 |
| Provider Name | Ashley Zendler Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245749464 PECOS PAC ID: 7416216205 Enrollment ID: I20180124002746 |
| Provider Name | Lydia Shull |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316392533 PECOS PAC ID: 1951650449 Enrollment ID: I20180816000843 |
| Provider Name | Rohini Ramamoorthy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265889448 PECOS PAC ID: 4981986478 Enrollment ID: I20191119001949 |
| Provider Name | Christina Irby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669060232 PECOS PAC ID: 5890103048 Enrollment ID: I20210428000768 |
| Provider Name | Steffany Hauenstein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427662980 PECOS PAC ID: 0446624126 Enrollment ID: I20230320002201 |
| Provider Name | Venkatesh Gupta Cheetirala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093236176 PECOS PAC ID: 3577988567 Enrollment ID: I20231102001679 |
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