Chadha Medical Clinic | |
140 W 4th St Dequincy LA 70633-3508 | |
(337) 786-5007 | |
(337) 786-5009 |
Full Name | Chadha Medical Clinic |
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Speciality | Clinic/Center |
Location | 140 W 4th St, Dequincy, Louisiana |
Authorized Official Name and Position | Jagjit Chadha (MEDICAL DIRECTOR) |
Authorized Official Contact | 3377865007 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Chadha Medical Clinic 140 W 4th St Dequincy LA 70633-3508 Ph: (337) 786-5007 | Chadha Medical Clinic 140 W 4th St Dequincy LA 70633-3508 Ph: (337) 786-5007 |
NPI Number | 1134136708 |
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Provider Enumeration Date | 08/03/2006 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 4981609336 |
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Medicare Enrollment ID | O20060919000273 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134136708 | NPI | - | NPPES |
1456128 | Medicaid | LA | |
1441627 | Medicaid | LA | |
670200000F5891 | Other | LA | BCBS PROVIDER NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 27211 (Louisiana) | Primary |
261QR1300X | Clinic/center - Rural Health | 27211 (Louisiana) | Primary |
Chadha Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 140 W 4th St, Dequincy, LA 70633 Phone: 337-786-5007 Fax: 337-786-5009 | |
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