| Gastroenterology Center Of Louisiana, Inc. | |
|
4212 W Congress St Suite 2400e Lafayette LA 70506-6765 | |
| (615) 574-8001 | |
| (866) 566-3203 |
| Full Name | Gastroenterology Center Of Louisiana, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 4212 W Congress St, Lafayette, Louisiana |
| Authorized Official Name and Position | Irfan Alam (PHYSICIAN) |
| Authorized Official Contact | 6155748001 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gastroenterology Center Of Louisiana, Inc. 4212 W Congress St Suite 2400e Lafayette LA 70506-6765 Ph: (615) 574-8001 | Gastroenterology Center Of Louisiana, Inc. 4212 W Congress St Suite 2400e Lafayette LA 70506-6765 Ph: (615) 574-8001 |
| NPI Number | 1891953717 |
|---|---|
| Provider Enumeration Date | 05/28/2008 |
| Last Update Date | 05/28/2008 |
| Medicare PECOS PAC ID | 1951476597 |
|---|---|
| Medicare Enrollment ID | O20080818000192 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891953717 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Irfan Alam |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1770501447 PECOS PAC ID: 8628037009 Enrollment ID: I20041011000364 |
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