Provider Demographics
NPI:1023177433
Name:ALABAMA CARDIOLOGY, P.C.
Entity type:Organization
Organization Name:ALABAMA CARDIOLOGY, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SADASIVA
Authorized Official - Middle Name:RAO
Authorized Official - Last Name:KATTA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:256-882-1450
Mailing Address - Street 1:4700 WHITESBURG DR SW
Mailing Address - Street 2:SUITE 200
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35802-1685
Mailing Address - Country:US
Mailing Address - Phone:256-882-1450
Mailing Address - Fax:256-882-3823
Practice Address - Street 1:4700 WHITESBURG DR SW
Practice Address - Street 2:SUITE 200
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35802-1685
Practice Address - Country:US
Practice Address - Phone:256-882-1450
Practice Address - Fax:256-882-3823
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-08
Last Update Date:2022-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL000026675Medicaid
ALF67361Medicare UPIN
AL000026675Medicaid