Organization
APPALACHIAN CARDIOVASCULAR ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANJEEV SAXENA M.D. (OWNER)
(256) 997-9200
Entity
Organization
Contact information
Practice address
1990 GAULT AVE N, SUITE 200, FORT PAYNE, AL 35967-3418
(256) 997-9200
(256) 997-0002
Mailing address
PO BOX 681239, FORT PAYNE, AL 35968-1613
(256) 997-9200
(256) 997-0002
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
24558
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051551802
—
AL
01
—
060069630
MEDICARE RAILROAD
AL
01
—
51511919
BCBS OF ALABAMA
AL
Enumeration date
02/27/2007
Last updated
10/24/2011
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