| Jefferson Headache And Spine,l.l.c. | |
|
3800 Houma Blvd Ste 110 Metairie LA 70006-4150 | |
| (504) 455-4999 | |
| (504) 455-9031 |
| Full Name | Jefferson Headache And Spine,l.l.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 3800 Houma Blvd Ste 110, Metairie, Louisiana |
| Authorized Official Name and Position | Rajiv Khurana (MEMBER AND SOLE PROPRIETOR) |
| Authorized Official Contact | 5044554999 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jefferson Headache And Spine,l.l.c. 3800 Houma Blvd Ste 110 Metairie LA 70006-4150 Ph: (504) 455-4999 | Jefferson Headache And Spine,l.l.c. 3800 Houma Blvd Ste 110 Metairie LA 70006-4150 Ph: (504) 455-4999 |
| NPI Number | 1295916062 |
|---|---|
| Provider Enumeration Date | 11/20/2007 |
| Last Update Date | 12/04/2008 |
| Medicare PECOS PAC ID | 0446313985 |
|---|---|
| Medicare Enrollment ID | O20090110000002 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295916062 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | MD.08395R (Louisiana) | Primary |
| Provider Name | Rajiv Khurana |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649337700 PECOS PAC ID: 6800975392 Enrollment ID: I20080508000769 |
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