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Organization
ALABAMA ALLERGY & ASTHMA CARE LLC
Active
Organization
ALABAMA ALLERGY & ASTHMA CARE LLC
Active
Other names
Alabama Allergy & Asthma Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHIVA KRISHNA MD (PHYSICIAN)
(256) 890-0331
Entity
Organization
Contact information
Practice address
101 WESTOVER CIR, SUITE C, MADISON, AL 35758-4900
(256) 890-0331
(256) 325-1189
Mailing address
101 WESTOVER CIR, SUITE C, MADISON, AL 35758-4900
(256) 890-0331
(256) 325-1189
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
00025205
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10270G0894
GROUP PTAN GIVEN BY MEDICARE
—
01
—
102I038525
PTAN GIVEN BY MEDICARE
—
05
—
182367
—
AL
Enumeration date
04/26/2016
Last updated
04/26/2016
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