Individual
DR. SAI AVULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1118 ROSS CLARK CIR, SUITE 100, DOTHAN, AL 36301-3001
(334) 794-1148
(334) 793-1954
Mailing address
1118 ROSS CLARK CIR, SUITE 100, DOTHAN, AL 36301-3001
(334) 794-1148
(334) 793-1954
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
28778
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051548519
BCBS
AL
05
—
105083
—
AL
05
—
1467441741
—
AL
01
—
P00674063
MEDICARE RAILROAD
AL
Enumeration date
10/19/2005
Last updated
08/29/2011
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