| Jay P. Jaikishen Md | |
|
155 Hospital Dr Suite 406 Lafayette LA 70503-2852 | |
| (337) 232-1171 | |
| (337) 232-5543 |
| Full Name | Jay P. Jaikishen Md |
|---|---|
| Speciality | Internal Medicine |
| Location | 155 Hospital Dr, Lafayette, Louisiana |
| Authorized Official Name and Position | Jay P Jaikishen (PRESIDENT) |
| Authorized Official Contact | 3372321171 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jay P. Jaikishen Md 155 Hospital Dr Suite 406 Lafayette LA 70503-2852 Ph: (337) 232-1171 | Jay P. Jaikishen Md 155 Hospital Dr Suite 406 Lafayette LA 70503-2852 Ph: (337) 232-1171 |
| NPI Number | 1932390572 |
|---|---|
| Provider Enumeration Date | 08/08/2007 |
| Last Update Date | 08/08/2007 |
| Medicare PECOS PAC ID | 5698864668 |
|---|---|
| Medicare Enrollment ID | O20071129000252 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932390572 | NPI | - | NPPES |
| 1923907 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 08029 R (Louisiana) | Primary |
| 207U00000X | Nuclear Medicine | 08029R (Louisiana) | Secondary |
| Provider Name | Jay P Jaikishen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225059249 PECOS PAC ID: 7315844917 Enrollment ID: I20031212000576 |
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