| Ben Doga, M.d., L.l.c. | |
|
204 Acacia Dr Lafayette LA 70508-4004 | |
| (337) 962-1461 | |
| Not Available |
| Full Name | Ben Doga, M.d., L.l.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 204 Acacia Dr, Lafayette, Louisiana |
| Authorized Official Name and Position | Benjamin N. Doga (OWNER) |
| Authorized Official Contact | 3379621461 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ben Doga, M.d., L.l.c. 204 Acacia Dr Lafayette LA 70508-4004 Ph: (337) 962-1461 | Ben Doga, M.d., L.l.c. 204 Acacia Dr Lafayette LA 70508-4004 Ph: (337) 962-1461 |
| NPI Number | 1720324221 |
|---|---|
| Provider Enumeration Date | 01/02/2013 |
| Last Update Date | 01/02/2013 |
| Medicare PECOS PAC ID | 9234375684 |
|---|---|
| Medicare Enrollment ID | O20130410000063 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720324221 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 024788 (Louisiana) | Primary |
| Provider Name | Benjamin N Doga |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861419848 PECOS PAC ID: 0244238921 Enrollment ID: I20110110000074 |
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