| Baker Suraj, Inc | |
|
602 N. Lewis Ave. Suite 100 New Iberia LA 70563 | |
| (337) 364-2822 | |
| (337) 364-1978 |
| Full Name | Baker Suraj, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 602 N. Lewis Ave., New Iberia, Louisiana |
| Authorized Official Name and Position | Vina S. Baker (PHYSICIAN/MEDICAL DIRECTOR) |
| Authorized Official Contact | 3373642822 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Baker Suraj, Inc 602 N. Lewis Ave. Suite 100 New Iberia LA 70563 Ph: (337) 364-2822 | Baker Suraj, Inc 602 N. Lewis Ave. Suite 100 New Iberia LA 70563 Ph: (337) 364-2822 |
| NPI Number | 1487956538 |
|---|---|
| Provider Enumeration Date | 11/23/2010 |
| Last Update Date | 11/23/2010 |
| Medicare PECOS PAC ID | 2365638434 |
|---|---|
| Medicare Enrollment ID | O20101201000698 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487956538 | NPI | - | NPPES |
| 1482030 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 023492 (Louisiana) | Primary |
| Provider Name | Vina S Baker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114994480 PECOS PAC ID: 9436345501 Enrollment ID: I20101201000735 |
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