Organization
DIGESTIVE DISEASE CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRASAD S VANKINENI M.D. (PRESIDENT)
(256) 536-9031
Entity
Organization
Contact information
Practice address
420 LOWELL DRIVE, SUITE 204, HUNTSVILLE, AL 35801-3763
(256) 536-9031
(256) 539-4240
Mailing address
420 LOWELL DRIVE, SUITE 204, HUNTSVILLE, AL 35801-3763
(256) 536-9031
(256) 539-4240
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1366534307
SURESH KARNE'S NPI #
AL
01
—
1700958873
P. VANKINENI'S NPI #
AL
05
—
529910050
—
AL
Enumeration date
12/04/2006
Last updated
08/12/2013
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