Channdara Thach
Medical Specialty
Professional ID
- NPI: 1578914842
- PECOS ID: 5799070256
- Enrollment ID: I20160823000698
- Credential(MD, DO, DPM):
- Medical School: University Of Alabama School Of Medicine
- Medical School Graduation Year: 2015
Hospital Service
- Hospital CCN1: 010016
- Business Name (LBN)1: Shelby Baptist Medical Center
Medical Practices
- Organization Name: Bhc - Shelby Internal Medicine
- Group Practice ID assigned by PECOS: 9436143641
- Number of Group Practice member: 2
Location
- Address1: 120 Cahaba Valley Pkwy
- Address2: Suite 200
- City: Pelham
- State: Alabama
- Zip Code: 35124
- Phone Number: (205)663-5770
Location
- Address1: 636 2nd St Ne
- Address2: Suite B
- City: Alabaster
- State: Alabama
- Zip Code: 35007
- Phone Number: (205)663-5770
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS):
- Used Electronic health record (EHR):