Provider Demographics
NPI:1497726137
Name:BECDACH, SAMMY F (MD)
Entity Type:Individual
Prefix:DR
First Name:SAMMY
Middle Name:F
Last Name:BECDACH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 18428
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35804-8428
Mailing Address - Country:US
Mailing Address - Phone:256-705-4224
Mailing Address - Fax:256-705-4135
Practice Address - Street 1:1107 14TH AVE SE
Practice Address - Street 2:PLAZA II SUITE 200
Practice Address - City:DECATUR
Practice Address - State:AL
Practice Address - Zip Code:35601-3309
Practice Address - Country:US
Practice Address - Phone:256-308-9889
Practice Address - Fax:256-308-9858
Is Sole Proprietor?:No
Enumeration Date:2006-01-31
Last Update Date:2022-09-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AL25345207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL510-50070OtherBCBS OF ALABAMA
AL009913951Medicaid
ALCA0084OtherRR MEDICARE
AL009939807Medicaid
AL009933132Medicaid
AL51536679OtherBCBS OF ALABAMA
AL528701110Medicaid
AL515-46228OtherBCBS OF ALABAMA
ALP00258669OtherRR MEDICARE
AL515-31193OtherBCBS OF ALABAMA
AL515-31193OtherBCBS OF ALABAMA
AL009913951Medicaid
ALP00258669OtherRR MEDICARE
AL009939807Medicaid