Provider Demographics
NPI:1669573721
Name:CARDIOLOGY ASSOCIATES OF WEST ALABAMA, PC
Entity type:Organization
Organization Name:CARDIOLOGY ASSOCIATES OF WEST ALABAMA, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SAKINA
Authorized Official - Middle Name:
Authorized Official - Last Name:KAMAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:205-343-2811
Mailing Address - Street 1:4401 WATERMELON RD
Mailing Address - Street 2:
Mailing Address - City:NORTHPORT
Mailing Address - State:AL
Mailing Address - Zip Code:35473-5197
Mailing Address - Country:US
Mailing Address - Phone:205-343-2811
Mailing Address - Fax:205-391-0900
Practice Address - Street 1:4401 WATERMELON RD
Practice Address - Street 2:
Practice Address - City:NORTHPORT
Practice Address - State:AL
Practice Address - Zip Code:35473-5197
Practice Address - Country:US
Practice Address - Phone:205-343-2811
Practice Address - Fax:205-391-0900
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-25
Last Update Date:2024-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL529200580Medicaid
AL529200580Medicaid
ALD660Medicare ID - Type UnspecifiedMEDICARE FACILITY ID