Healthcare Provider Details

I. General information

NPI: 1912799107
Provider Name (Legal Business Name): SYNERGY HOSPITALIST PARTNERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2025
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 MEDICAL CENTER DR SW
FORT PAYNE AL
35968-3458
US

IV. Provider business mailing address

1825 GLENN BLVD SW # 342
FORT PAYNE AL
35968-3533
US

V. Phone/Fax

Practice location:
  • Phone: 256-845-3150
  • Fax: 256-997-2512
Mailing address:
  • Phone: 866-949-1215
  • Fax: 404-600-1099

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. AMARABALAN RAJENDRAN
Title or Position: PRESIDENT
Credential:
Phone: 256-300-4631