| Geripalmd | |
|
3636 S Sherwood Forest Blvd Ste 650 Baton Rouge LA 70816-5216 | |
| (240) 437-4362 | |
| Not Available |
| Full Name | Geripalmd |
|---|---|
| Speciality | Family Medicine |
| Location | 3636 S Sherwood Forest Blvd Ste 650, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Tolulope Famuyiro (PRIMARY CARE-GERIATRICS) |
| Authorized Official Contact | 2404374362 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Geripalmd 3636 S Sherwood Forest Blvd Ste 650 Baton Rouge LA 70816-5216 Ph: (240) 437-4362 | Geripalmd 3636 S Sherwood Forest Blvd Ste 650 Baton Rouge LA 70816-5216 Ph: (240) 437-4362 |
| NPI Number | 1134993579 |
|---|---|
| Provider Enumeration Date | 11/07/2023 |
| Last Update Date | 02/17/2024 |
| Medicare PECOS PAC ID | 8325486079 |
|---|---|
| Medicare Enrollment ID | O20240401002507 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134993579 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| Provider Name | Tolulope B Famuyiro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407343551 PECOS PAC ID: 7012398324 Enrollment ID: I20220718003523 |
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