| Destrehan Medical Clinic | |
|
12604 River Rd Destrehan LA 70047-5306 | |
| (985) 764-0439 | |
| (985) 725-1464 |
| Full Name | Destrehan Medical Clinic |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 12604 River Rd, Destrehan, Louisiana |
| Authorized Official Name and Position | Chemmale Jayakrishnan (PRESIDENT/DOCTOR) |
| Authorized Official Contact | 9857852045 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Destrehan Medical Clinic 12604 River Rd Destrehan LA 70047-5306 Ph: (985) 764-0439 | Destrehan Medical Clinic 12604 River Rd Destrehan LA 70047-5306 Ph: (985) 764-0439 |
| NPI Number | 1790876019 |
|---|---|
| Provider Enumeration Date | 09/28/2006 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790876019 | NPI | - | NPPES |
| 1798703 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (Louisiana) | Primary |
Riverbend Family Chiropractic And Rehabilitation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1972 Ormond Blvd, Suite A, Destrehan, LA 70047 Phone: 225-278-6492 | |
Access Health Louisiana Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1 Wildcat Ln, Destrehan, LA 70047 Phone: 866-530-6111 | |
Ochsner Health Center-destrehan Family Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13100 River Rd, Destrehan, LA 70047 Phone: 985-764-7669 | |
Parish Internal Medicine Associates Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 Plantation Rd, Suite 120, Destrehan, LA 70047 Phone: 985-764-3051 Fax: 985-764-3053 | |
Ormond Pediatric Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 141 Ormond Center Ct, Destrehan, LA 70047 Phone: 985-764-7337 Fax: 985-764-5333 |