| Blue Bayou Services Group Inc | |
|
6221 S Claiborne Ave Ste B614 New Orleans LA 70125-4142 | |
| (504) 339-2302 | |
| Not Available |
| Full Name | Blue Bayou Services Group Inc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 6221 S Claiborne Ave, New Orleans, Louisiana |
| Authorized Official Name and Position | Kenneth J Manas (CEO) |
| Authorized Official Contact | 5043392302 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Bayou Services Group Inc 6221 S Claiborne Ave Ste B614 New Orleans LA 70125-4142 Ph: () - | Blue Bayou Services Group Inc 6221 S Claiborne Ave Ste B614 New Orleans LA 70125-4142 Ph: (504) 339-2302 |
| NPI Number | 1821310020 |
|---|---|
| Provider Enumeration Date | 02/16/2010 |
| Last Update Date | 02/16/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821310020 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 06583R (Louisiana) | Primary |
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