Organization
HUNTSVILLE NEUROLOGY CENTER
Active
Other names
MADISON NEUROLOGY CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAVI YANAMADULA (OFFICE MANAGER)
(256) 258-0052
Entity
Organization
Contact information
Practice address
2350 WHITESBURG DR S, HUNTSVILLE, AL 35801-3818
(256) 258-0052
Mailing address
2350 WHITESBURG DR S, HUNTSVILLE, AL 35801-3818
(256) 258-0052
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
00022841
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51002898
BLUE CROSS BLUE SHEILD
AL
Enumeration date
02/14/2007
Last updated
08/22/2020
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