| Integrity Health Provider | |
|
9111 Linwood Ave Shreveport LA 71106-6509 | |
| (318) 773-4903 | |
| Not Available |
| Full Name | Integrity Health Provider |
|---|---|
| Speciality | Internal Medicine |
| Location | 9111 Linwood Ave, Shreveport, Louisiana |
| Authorized Official Name and Position | Peyman Roohani (OWNER) |
| Authorized Official Contact | 3187734903 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrity Health Provider Po Box 53158 Shreveport LA 71135-3158 Ph: (318) 773-4903 | Integrity Health Provider 9111 Linwood Ave Shreveport LA 71106-6509 Ph: (318) 773-4903 |
| NPI Number | 1831979442 |
|---|---|
| Provider Enumeration Date | 10/02/2023 |
| Last Update Date | 10/06/2023 |
| Medicare PECOS PAC ID | 4183073190 |
|---|---|
| Medicare Enrollment ID | O20231214003910 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831979442 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Peyman Roohani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285632745 PECOS PAC ID: 8325074172 Enrollment ID: I20050713000041 |
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