Individual
DR. SASIKUMAR VISHWANATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1073 3RD ST, FLORALA, AL 36442-3231
(334) 858-2050
(334) 858-2120
Mailing address
1073 3RD ST, FLORALA, AL 36442-3231
(334) 858-2050
(334) 858-2120
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
19896
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003815600
—
FL
05
—
103596
—
AL
01
—
110173224
RAILROADMEDICARE
AL
05
—
251015400
—
FL
01
—
51037033VIS
UNITED HEALTHCARE
AL
01
—
51037033VIS
BLUECROSS OF FLORIDA
FL
01
—
51524095
BLUCROSS OF ALABAMA
AL
01
—
P00410027
RAILROAD MEDICARE
AL
Enumeration date
09/21/2006
Last updated
11/04/2011
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