| Chaudhry Clinic Llc | |
|
11809 Highway 84 W Jena LA 71342-3703 | |
| (318) 992-4133 | |
| Not Available |
| Full Name | Chaudhry Clinic Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 11809 Highway 84 W, Jena, Louisiana |
| Authorized Official Name and Position | Riaz Masud Chaudhry (OWNER) |
| Authorized Official Contact | 3189924133 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chaudhry Clinic Llc Po Box 1470 Jena LA 71342-1470 Ph: (318) 992-4133 | Chaudhry Clinic Llc 11809 Highway 84 W Jena LA 71342-3703 Ph: (318) 992-4133 |
| NPI Number | 1891392304 |
|---|---|
| Provider Enumeration Date | 10/07/2020 |
| Last Update Date | 10/07/2020 |
| Medicare PECOS PAC ID | 8820141146 |
|---|---|
| Medicare Enrollment ID | O20201020001393 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891392304 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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