| Samer N Roy, Md Llc | |
|
102 Thomas Rd Ste 504 West Monroe LA 71291-7366 | |
| (318) 322-0100 | |
| (318) 322-2225 |
| Full Name | Samer N Roy, Md Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 102 Thomas Rd, West Monroe, Louisiana |
| Authorized Official Name and Position | Samer N Roy (OWNER) |
| Authorized Official Contact | 3183220100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Samer N Roy, Md Llc 102 Thomas Rd Ste 504 West Monroe LA 71291-7366 Ph: (318) 322-0100 | Samer N Roy, Md Llc 102 Thomas Rd Ste 504 West Monroe LA 71291-7366 Ph: (318) 322-0100 |
| NPI Number | 1730469818 |
|---|---|
| Provider Enumeration Date | 08/22/2011 |
| Last Update Date | 08/22/2011 |
| Medicare PECOS PAC ID | 2264605815 |
|---|---|
| Medicare Enrollment ID | O20111027000422 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730469818 | NPI | - | NPPES |
| 1495549 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD022930 (Louisiana) | Primary |
| Provider Name | Samer N Roy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871501338 PECOS PAC ID: 1254393531 Enrollment ID: I20041029000018 |
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