Srinivas    Mallempati    MD
Contract Details
Alabama Orthopedic, Spine & Sports Medicine Associates
Facility name
Provider ID
P000006810
NPI
1033177340
Tax ID
630954295
Effective Date
2/15/1993
Last Updated
7/8/2016
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
F
Fee Schedule Name
103.00
Fee Schedule Multiplier
Location Details
Address
1801 Gadsden Highway
Birmingham, AL 35283
United States
County
Jefferson
Phone
2058383900 (Phone)
Billing Details
Address
P.O. Box 830785
Drawer 415
Birmingham, AL 35283
Billing Phone
2058383900
Specialty Type
Physical Medicine & Rehabilitation
Map
Address