Bethesda Medical Clinic, Llc | |
1151 Barataria Blvd Ste 3400 Marrero LA 70072-3083 | |
(504) 265-8304 | |
(504) 309-4193 |
Full Name | Bethesda Medical Clinic, Llc |
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Speciality | Internal Medicine |
Location | 1151 Barataria Blvd Ste 3400, Marrero, Louisiana |
Authorized Official Name and Position | Shibu Varughese (PRESIDENT/MANAGER) |
Authorized Official Contact | 5044945378 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Bethesda Medical Clinic, Llc 1151 Barataria Blvd Ste 3400 Marrero LA 70072-3083 Ph: (504) 265-8304 | Bethesda Medical Clinic, Llc 1151 Barataria Blvd Ste 3400 Marrero LA 70072-3083 Ph: (504) 265-8304 |
NPI Number | 1912271412 |
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Provider Enumeration Date | 02/29/2012 |
Last Update Date | 06/15/2022 |
Medicare PECOS PAC ID | 3971764259 |
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Medicare Enrollment ID | O20120412000686 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912271412 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
207R00000X | Internal Medicine | MD203694 (Louisiana) | Primary |
Provider Name | Karen E Friday |
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Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1295994432 PECOS PAC ID: 0648287003 Enrollment ID: I20060310000139 |
Provider Name | Joann Norman |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669651196 PECOS PAC ID: 9537257795 Enrollment ID: I20071121000539 |
Provider Name | Maria Azucena M Ramos |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710146196 PECOS PAC ID: 9931234598 Enrollment ID: I20100322000167 |
Provider Name | Amy Varughese |
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Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1538492517 PECOS PAC ID: 3870634793 Enrollment ID: I20100820000474 |
Provider Name | Shibu Varughese |
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Provider Type | Practitioner - Hematology/oncology |
Provider Identifiers | NPI Number: 1346475506 PECOS PAC ID: 2062553985 Enrollment ID: I20120412000708 |
Provider Name | Holly K Harris |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851845234 PECOS PAC ID: 6305125022 Enrollment ID: I20161119000062 |
Provider Name | Ashik S Lawrence |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1780094482 PECOS PAC ID: 8921396706 Enrollment ID: I20170717000778 |
Provider Name | Ashraf Dwal |
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Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1689088403 PECOS PAC ID: 6103192588 Enrollment ID: I20180906003347 |
Provider Name | Krystal Marie Gettys |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942822556 PECOS PAC ID: 8022425677 Enrollment ID: I20210325002275 |
Provider Name | Whitney Diovonne Washington |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063005718 PECOS PAC ID: 3779992060 Enrollment ID: I20210518001249 |
Provider Name | Sushma Rawat |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740972090 PECOS PAC ID: 3870949100 Enrollment ID: I20231024000205 |
Women's Wellness Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6000 Westbank Expy, Marrero, LA 70072 Phone: 504-341-4000 | |
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The Mastectomy Boutique Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4700 Wichers Dr, Suite 201, Marrero, LA 70072 Phone: 504-758-4220 | |
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