Venkatapuram    Reddy    MD
Contract Details
MCB Specialty Clinic
Facility name
Provider ID
P000000001
NPI
1013943943
Tax ID
208104245
Effective Date
12/1/2001
Last Updated
3/17/2023
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_033
Location Details
Address
820 W Washington Street
Eufaula, AL 36027
United States
Phone
334-688-7000 (Phone)
Billing Details
Address
820 W Washington Street
Eufaula, AL 36027
Billing Phone
334-688-7000
Specialty Type
Internal Medicine
Website
Visit Website
Map
Address