| A Professional Medical Corporation | |
|
1000 Veterans Blvd Kenner LA 70062 | |
| (504) 891-9800 | |
| (504) 461-0030 |
| Full Name | A Professional Medical Corporation |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1000 Veterans Blvd, Kenner, Louisiana |
| Authorized Official Name and Position | Fiaz Afzal (MEDICAL DIRECTOR) |
| Authorized Official Contact | 5048919800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A Professional Medical Corporation 1000 Veterans Blvd Kenner LA 70062 Ph: (504) 891-9800 | A Professional Medical Corporation 1000 Veterans Blvd Kenner LA 70062 Ph: (504) 891-9800 |
| NPI Number | 1609035286 |
|---|---|
| Provider Enumeration Date | 06/09/2008 |
| Last Update Date | 10/17/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609035286 | NPI | - | NPPES |
| 1687553 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 11980R (Louisiana) | Primary |
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