| Neil Clinic Inc. | |
|
760 Bayou Pines East Dr Lake Charles LA 70601-7184 | |
| (337) 433-0313 | |
| (337) 433-0554 |
| Full Name | Neil Clinic Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 760 Bayou Pines East Dr, Lake Charles, Louisiana |
| Authorized Official Name and Position | Anand K Roy (DIRECTOR) |
| Authorized Official Contact | 3374330313 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neil Clinic Inc. 760 Bayou Pines East Dr Lake Charles LA 70601-7184 Ph: (337) 433-0313 | Neil Clinic Inc. 760 Bayou Pines East Dr Lake Charles LA 70601-7184 Ph: (337) 433-0313 |
| NPI Number | 1487873758 |
|---|---|
| Provider Enumeration Date | 04/25/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 7416038484 |
|---|---|
| Medicare Enrollment ID | O20080116000033 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487873758 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 10341R (Louisiana) | Primary |
| Provider Name | Anand K Roy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366424905 PECOS PAC ID: 8426139494 Enrollment ID: I20080116000029 |
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