Tejanand  G  Mulpur    MD
Contract Details
ADIN Healthcare, Inc.
Facility name
Provider ID
P000008368
NPI
1720048309
Tax ID
261285527
Effective Date
7/1/2012
Last Updated
5/21/2017
Direct Contract
Yes
Term Date
12/31/2016
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
90.00
Location Details
Address
201 Sivley Road Southwest Suite 560
Huntsville, AL 35801
United States
County
Madison
Phone
8666746728 (Phone)
Billing Details
Address
761 Old Hickory Boulevard
Suite 300
Brentwood, TN 37027
Billing Phone
8666746728
Specialty Type
Neurology
Map
Address