Organization
CARDINAL MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUNITHA A GHANTA MD (MD/OWNER)
(256) 213-1031
Entity
Organization
Contact information
Practice address
185 WHITESPORT DR SW STE 1, HUNTSVILLE, AL 35801-6487
(562) 131-0312
(800) 765-1229
Mailing address
185 WHITESPORT DR SW STE 1, HUNTSVILLE, AL 35801-6487
(256) 213-1031
(800) 765-1229
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
29794
AL
Other
Enumeration date
12/07/2010
Last updated
07/27/2022
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