Organization
NORTHERN ALABAMA INTERNISTS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VARUN R. PUDUCHERI M.D. (OWNER / PHYSICIAN)
(256) 503-0940
Entity
Organization
Contact information
Practice address
250 CHATEAU DR SW, SUITE 235, HUNTSVILLE, AL 35801-6436
(256) 503-0940
Mailing address
250 CHATEAU DR SW, SUITE 235, HUNTSVILLE, AL 35801-6436
(256) 503-0940
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
BCBS OF AL
AL
05
—
PENDING
—
AL
Enumeration date
06/30/2008
Last updated
06/30/2008
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