<Unavail>

LBN: Madison Primary Care Llc
<Unavail> is an health care organization with primary practice located at 400 Sun Temple Dr , Madison AL 35758-5924. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Madison Primary Care Llc can be contacted via phone (256) 774-5524, or through Bodla, Adeel via phone (626) 644-7722.

Contact Information

Primary practice address
400 Sun Temple Dr Madison AL 35758-5924
Fax: (256) 774-5523
Website:
Authorized official contact:
Name: Bodla, Adeel Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1881993210
LBN Legal business name Madison Primary Care Llc
DBA Doing business as <Unavail>
Authorized official Bodla, Adeel Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 24th, 2011
Last updated Aug 1st, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1881993210 NPPES
Alabama MEDICAID PENDING

Popular Providers