| Carlos M. Choucino, Md, Apmc | |
|
4805 Kingspoint Dr Lake Charles LA 70605-5985 | |
| (337) 477-7091 | |
| (337) 474-4552 |
| Full Name | Carlos M. Choucino, Md, Apmc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4805 Kingspoint Dr, Lake Charles, Louisiana |
| Authorized Official Name and Position | Carlos M Choucino (PRESIDENT) |
| Authorized Official Contact | 3374777091 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carlos M. Choucino, Md, Apmc 4805 Kingspoint Dr Lake Charles LA 70605-5985 Ph: (337) 477-7091 | Carlos M. Choucino, Md, Apmc 4805 Kingspoint Dr Lake Charles LA 70605-5985 Ph: (337) 477-7091 |
| NPI Number | 1841321593 |
|---|---|
| Provider Enumeration Date | 03/07/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 3173621935 |
|---|---|
| Medicare Enrollment ID | O20070604000084 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841321593 | NPI | - | NPPES |
| 0700006864 | Other | LA | OCCUPATIONAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | Carlos M Choucino |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1386604338 PECOS PAC ID: 7810095676 Enrollment ID: I20070604000078 |
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