Individual
DR. PRATHYUSHA MADDELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
522 E 11TH ST STE 200, ANNISTON, AL 36207-4770
(256) 237-5302
(256) 237-5368
Mailing address
522 E 11TH ST, SUITE 200, ANNISTON, AL 36207-4770
(256) 237-5302
(256) 237-5368
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
26169
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9937848
—
AL
Enumeration date
07/12/2006
Last updated
08/21/2020
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