| NPI | 1851609978 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KUMAR KISHORE AMARANENI Owner/Registered Agent 985-645-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: LA 06512R) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: LA 019740) |
| 207R00000X Internal Medicine (Licence: LA 025659) | |
| 208000000X Pediatrics (Licence: LA 025659) | |
| Enumeration Date | 2010-09-23 |
| Last Update Date | 2014-07-09 |