| Dr Nirmala Tumarada Llc | |
|
707 Dr Michael Debakey Dr Lake Charles LA 70601-5728 | |
| (374) 333-0762 | |
| Not Available |
| Full Name | Dr Nirmala Tumarada Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 707 Dr Michael Debakey Dr, Lake Charles, Louisiana |
| Authorized Official Name and Position | Nirmala Tumarada (NEUROLOGIST) |
| Authorized Official Contact | 2055857930 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Nirmala Tumarada Llc 6438 White Oleander Cir E Lake Charles LA 70605-0377 Ph: (205) 585-7930 | Dr Nirmala Tumarada Llc 707 Dr Michael Debakey Dr Lake Charles LA 70601-5728 Ph: (374) 333-0762 |
| NPI Number | 1831967058 |
|---|---|
| Provider Enumeration Date | 12/18/2023 |
| Last Update Date | 04/19/2024 |
| Certification Date | 04/19/2024 |
| Medicare PECOS PAC ID | 1850735838 |
|---|---|
| Medicare Enrollment ID | O20240217000610 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831967058 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| 261QM2500X | Clinic/center - Medical Specialty | (* (Not Available)) | Secondary |
| Provider Name | Nirmala Tumarada |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184060923 PECOS PAC ID: 0345520565 Enrollment ID: I20190805000605 |
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