Organization
CARDIOVASCULAR INSTITUTE OF THE SHOALS PC
Active
Other names
NORTHWEST ALABAMA MEDICAL ASSOCIATES
Organization subpart
No
Provider details
NPI number
Authorized official
AJIT NAIDU MD (PRESIDENT)
(256) 766-2310
Entity
Organization
Contact information
Practice address
2095 FLORENCE BLVD, FLORENCE, AL 35630-2751
(256) 766-2310
(256) 768-9956
Mailing address
2095 FLORENCE BLVD, FLORENCE, AL 35630-2751
(256) 766-2310
(256) 768-9956
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RI0011X
Interventional Cardiology Physician
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128073
—
AL
01
—
DR6493
RAILROAD MEDICARE
AL
Enumeration date
04/05/2011
Last updated
08/08/2023
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