Alabama Asthma & Allergy Care Center PC

Organization Active NPI Allergy & Immunology Physician · Dothan, AL

NPI 1386448504 · NPPES record last updated Apr 4, 2025

Key facts

NPI
1386448504
Entity type
Organization (NPI type 2)
Primary specialty
Allergy & Immunology Physician 207K00000X
Legal business name
ALABAMA ASTHMA & ALLERGY CARE CENTER PC
Practice address
4300 W Main St Ste 102
Dothan, AL 36305-1306
Phone
(334) 793-9564
NPI assigned
Apr 4, 2025
Organization subpart
No

Authorized official

Name
Mark Hagop Kalenian, MD
Title
Owner/President
Phone
(334) 793-9564

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in AL

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20250627001470 AL Part B Supplier - Clinic/Group Practice 1456864081 Receives reassigned benefits from 1 practitioner
Practice locations: Dothan, AL

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207K00000X Yes

Addresses

Primary practice location

4300 W Main St Ste 102
Dothan, AL 36305-1306

Mailing address

4300 W Main St Ste 102
Dothan, AL 36305-1306
Phone (334) 793-9564

Other providers in Dothan, AL

All providers in Dothan, AL · Allergy & Immunology Physician in Alabama

Sources for this page

Verify at the official NPI Registry.