| North Alabama Primary Care,pc | |
|
1015 Highway 72 East Suite 1 Athens AL 35611 | |
| (256) 232-2505 | |
| (256) 230-3226 |
| Full Name | North Alabama Primary Care,pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1015 Highway 72 East, Athens, Alabama |
| Authorized Official Name and Position | Chandra S Koneru (PHYSICIAN) |
| Authorized Official Contact | 2562322505 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Alabama Primary Care,pc 1015 Highway 72 East Suite 1 Athens AL 35611 Ph: (256) 232-2505 | North Alabama Primary Care,pc 1015 Highway 72 East Suite 1 Athens AL 35611 Ph: (256) 232-2505 |
| NPI Number | 1912118456 |
|---|---|
| Provider Enumeration Date | 05/25/2007 |
| Last Update Date | 03/14/2008 |
| Medicare PECOS PAC ID | 8426078031 |
|---|---|
| Medicare Enrollment ID | O20051128000847 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912118456 | NPI | - | NPPES |
| CI3887 | Other | AL | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Vijaya K Koneru |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750434080 PECOS PAC ID: 9739355330 Enrollment ID: I20120103000651 |
| Provider Name | Chandra S Koneru |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982758132 PECOS PAC ID: 7517133085 Enrollment ID: I20120104000749 |
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