| Dr. Ben E. Idowu | |
|
3636 S Sherwood Forest Blvd Ste 650 Baton Rouge LA 70816-5216 | |
| (225) 756-2180 | |
| (225) 756-2179 |
| Full Name | Dr. Ben E. Idowu |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 3636 S Sherwood Forest Blvd Ste 650, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Benedict E Idowu (MEDICAL DIRECTOR/CEO) |
| Authorized Official Contact | 2252872914 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Ben E. Idowu 3684 S Cottages Ave Baton Rouge LA 70816-2790 Ph: () - | Dr. Ben E. Idowu 3636 S Sherwood Forest Blvd Ste 650 Baton Rouge LA 70816-5216 Ph: (225) 756-2180 |
| NPI Number | 1114973948 |
|---|---|
| Provider Enumeration Date | 05/25/2006 |
| Last Update Date | 06/27/2024 |
| Certification Date | 11/15/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114973948 | NPI | - | NPPES |
| 3812614 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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