| Wiregrass Infectious Diseases LLC | |
|
3124 W Main St Ste 3 Dothan AL 36305-1181 | |
| (334) 803-8552 | |
| Not Available |
| Full Name | Wiregrass Infectious Diseases LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 3124 W Main St Ste 3, Dothan, Alabama |
| Authorized Official Name and Position | Rayen-ayoub Chakra (OWNER) |
| Authorized Official Contact | 3348038552 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wiregrass Infectious Diseases LLC 3124 W Main St Ste 3 Dothan AL 36305-1181 Ph: (334) 803-8552 | Wiregrass Infectious Diseases LLC 3124 W Main St Ste 3 Dothan AL 36305-1181 Ph: (334) 803-8552 |
| NPI Number | 1851245807 |
|---|---|
| Provider Enumeration Date | 02/25/2026 |
| Last Update Date | 02/26/2026 |
| Certification Date | 02/26/2026 |
| Medicare PECOS PAC ID | 6305315755 |
|---|---|
| Medicare Enrollment ID | O20260515000477 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851245807 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | () | Primary |
| Provider Name | Rayen Ayoub Chakra |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1033608765 PECOS PAC ID: 9335484674 Enrollment ID: I20260526002664 |
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