Oakdale Internal Medicine | |
107 Hospital Dr Oakdale LA 71463-3034 | |
(318) 335-4449 | |
(318) 335-4447 |
Full Name | Oakdale Internal Medicine |
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Speciality | Internal Medicine |
Location | 107 Hospital Dr, Oakdale, Louisiana |
Authorized Official Name and Position | Binitha Joseph (INTERNAL MEDICINE PROVIDER) |
Authorized Official Contact | 3374967723 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Oakdale Internal Medicine 107 Hospital Dr Oakdale LA 71463-3034 Ph: (318) 335-4449 | Oakdale Internal Medicine 107 Hospital Dr Oakdale LA 71463-3034 Ph: (318) 335-4449 |
NPI Number | 1639498496 |
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Provider Enumeration Date | 05/19/2010 |
Last Update Date | 05/19/2010 |
Medicare PECOS PAC ID | 4688706385 |
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Medicare Enrollment ID | O20100716000065 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639498496 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MD202163 (Louisiana) | Primary |
Provider Name | Binitha Joseph |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1881893139 PECOS PAC ID: 2567537798 Enrollment ID: I20080821000624 |
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