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Vandana
Maladkar
MD
Contract Details
The Orthopaedic Center
Facility name
Provider ID
P000001043
NPI
1962471680
Tax ID
923966599
Effective Date
7/1/2023
Last Updated
1/31/2024
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
M
Exhibit ID
AM_529
Exhibit Attachment
Location Details
Address
104 Liberty Lane
Scottsboro, AL 35768
United States
County
Jackson
Phone
2565744448
(
Phone
)
Billing Details
Address
104 Liberty Lane
Huntsville, AL 35768
Billing Phone
2565382728
Specialty Type
Physical Medicine & Rehabilitation
Map
Address