# CARDINAL MEDICAL GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457654840
- **Authorized official:** DR. SUNITHA A GHANTA MD (MD/OWNER)
- **Authorized official phone:** (256) 213-1031

## Contact information

- **Practice address:** 185 WHITESPORT DR SW STE 1, HUNTSVILLE, AL 35801-6487
- **Practice address phone:** (562) 131-0312
- **Practice address fax:** (800) 765-1229
- **Mailing address:** 185 WHITESPORT DR SW STE 1, HUNTSVILLE, AL 35801-6487
- **Mailing address phone:** (256) 213-1031
- **Mailing address fax:** (800) 765-1229

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 29794 | AL | Yes |

## Other

- **Enumeration date:** 12/07/2010
- **Last updated:** 07/27/2022