| S.vishwanath Md Pc | |
|
1073 3rd St Florala AL 36442-3231 | |
| (334) 858-2050 | |
| (334) 858-2120 |
| Full Name | S.vishwanath Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1073 3rd St, Florala, Alabama |
| Authorized Official Name and Position | Sasikumar Vishwanath (PRESIDENT) |
| Authorized Official Contact | 3348582050 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| S.vishwanath Md Pc 1073 3rd St Florala AL 36442-3231 Ph: (334) 858-2050 | S.vishwanath Md Pc 1073 3rd St Florala AL 36442-3231 Ph: (334) 858-2050 |
| NPI Number | 1427157239 |
|---|---|
| Provider Enumeration Date | 09/21/2006 |
| Last Update Date | 12/05/2011 |
| Medicare PECOS PAC ID | 6002901683 |
|---|---|
| Medicare Enrollment ID | O20070927000195 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427157239 | NPI | - | NPPES |
| 51037033VIS | Other | AL | HUMANA |
| 51037033VIS | Other | AL | UNITED HEALTH CARE |
| 000037033 | Medicaid | AL | |
| 214372179 | Other | AL | TRICARE |
| 251015400 | Medicaid | FL | |
| 110173224 | Other | AL | RAILROADMEDICARE |
| 51037033VIS | Other | AL | AETNA |
| 51037033VIS | Other | FL | BLUECROSS OF FLORIDA |
| 51524095 | Other | AL | BLUECROSS OF ALABAMA |
| 51037033VIS | Other | AL | BLUECROSS OF ALABAMA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 19896 (Alabama) | Primary |
| Provider Name | Sasikumar Vishwanath |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013016732 PECOS PAC ID: 6103880505 Enrollment ID: I20070927000181 |
Florala Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 24245 5th Ave, Florala, AL 36442 Phone: 334-858-2282 Fax: 334-858-2283 | |
The Florala Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 24245 5th Ave, Florala, AL 36442 Phone: 334-428-7021 | |
Florala Family Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 24015 5th Ave, Florala, AL 36442 Phone: 334-858-3241 Fax: 334-858-3318 | |
Serendipity Healthy Living Community, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 24273 5th Ave, Florala, AL 36442 Phone: 334-858-3287 Fax: 334-574-9508 | |
Florala Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 24245 5th Ave, Florala, AL 36442 Phone: 334-428-7021 | |
Florala Family Care Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 24245 5th Ave, Florala, AL 36442 Phone: 334-684-9208 |