| Chili Medical Corporation | |
|
4655 Bluebonnet Rd Baton Rouge LA 70809-2648 | |
| (225) 939-7787 | |
| Not Available |
| Full Name | Chili Medical Corporation |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 4655 Bluebonnet Rd, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Jay N Yalamanchili (VICEPRESIDENT) |
| Authorized Official Contact | 2259397787 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chili Medical Corporation 4655 Bluebonnet Rd Baton Rouge LA 70809-2648 Ph: () - | Chili Medical Corporation 4655 Bluebonnet Rd Baton Rouge LA 70809-2648 Ph: (225) 939-7787 |
| NPI Number | 1902287634 |
|---|---|
| Provider Enumeration Date | 06/18/2015 |
| Last Update Date | 06/18/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902287634 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 11651R (Louisiana) | Primary |
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