Kavita    Ivyengar    MD
Contract Details
Affinity Orthopedic Specialists
Facility name
Provider ID
P000000001
NPI
1699040444
Tax ID
364907908
Effective Date
4/18/2020
Last Updated
3/23/2021
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
90.00
Location Details
Address
3690 Grandview Parkway
Birmingham, AL 35007
United States
Phone
205-971-3356 (Phone)
Billing Details
Address
P.O. Box 24568
Belfast, ME 35243
Billing Phone
205-971-3356
Specialty Type
Surgery, Orthopedic Foot & Ankle
Map
Address