| Mitt Lary Family Practice, LLC | |
|
4815 Rose Blvd Northport AL 35475-5950 | |
| (205) 722-0650 | |
| (205) 345-5178 |
| Full Name | Mitt Lary Family Practice, LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 4815 Rose Blvd, Northport, Alabama |
| Authorized Official Name and Position | Malika Aryanpure (PHYSICIAN, OWNER) |
| Authorized Official Contact | 2057220650 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mitt Lary Family Practice, LLC 4815 Rose Blvd Northport AL 35475-5950 Ph: (205) 722-0650 | Mitt Lary Family Practice, LLC 4815 Rose Blvd Northport AL 35475-5950 Ph: (205) 722-0650 |
| NPI Number | 1184812000 |
|---|---|
| Provider Enumeration Date | 10/04/2007 |
| Last Update Date | 04/01/2024 |
| Certification Date | 04/01/2024 |
| Medicare PECOS PAC ID | 4284715970 |
|---|---|
| Medicare Enrollment ID | O20080119000014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184812000 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| 261QP2300X | Clinic/center - Primary Care | 27529 (Alabama) | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | 27529 (Alabama) | Secondary |
| Provider Name | Malika Aryanpure |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346208048 PECOS PAC ID: 2769403245 Enrollment ID: I20051212000872 |
Med 360 Urgent Care Northport LLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3250 Mcfarland Blvd, Northport, AL 35476 Phone: 205-487-4535 Fax: 205-487-8875 |
Allegra Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4804 Highway 69 N, Northport, AL 35473 Phone: 205-556-5634 Fax: 205-556-5634 |
Allegra Wellness of Tuscaloosa LLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4804 Highway 69 N, Northport, AL 35473 Phone: 205-556-5634 |
Northport Urgent Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2810 Lurleen Wallace Boulevard, Northport, AL 35476 Phone: 205-333-7670 Fax: 205-333-3161 |
University Medical Center - Northport Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6205 Jemison Ln, Northport, AL 35476 Phone: 205-348-6122 Fax: 205-348-6112 |
Alabama Bariatric and Wellness Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1325 Mcfarland Blvd. Suite #209, Northport, AL 35476 Phone: 205-333-1500 Fax: 205-330-1505 |