Provider Demographics
NPI:1598868044
Name:CUREWELL MEDICAL CENTER
Entity Type:Organization
Organization Name:CUREWELL MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SUNIL
Authorized Official - Middle Name:
Authorized Official - Last Name:CHANDRA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:205-366-9898
Mailing Address - Street 1:4108 WATERMELON RD
Mailing Address - Street 2:
Mailing Address - City:NORTHPORT
Mailing Address - State:AL
Mailing Address - Zip Code:35473-5130
Mailing Address - Country:US
Mailing Address - Phone:205-366-9898
Mailing Address - Fax:205-366-9896
Practice Address - Street 1:4108 WATERMELON RD
Practice Address - Street 2:
Practice Address - City:NORTHPORT
Practice Address - State:AL
Practice Address - Zip Code:35473-5130
Practice Address - Country:US
Practice Address - Phone:205-366-9898
Practice Address - Fax:205-366-9896
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-07
Last Update Date:2013-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL20650173000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes173000000XOther Service ProvidersLegal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL529905210Medicaid
ALG57479Medicare UPIN
AL000095100Medicare ID - Type UnspecifiedMEDICARE ID