| Ssdn Saharans, Inc | |
|
1401 Ezelle St Ruston LA 71270-7218 | |
| (318) 251-3126 | |
| (318) 251-6257 |
| Full Name | Ssdn Saharans, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1401 Ezelle St, Ruston, Louisiana |
| Authorized Official Name and Position | Raman Saharan (SOLE OWNER) |
| Authorized Official Contact | 6034943189 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ssdn Saharans, Inc 3029 Deborah Dr Monroe LA 71201-1955 Ph: (603) 494-3189 | Ssdn Saharans, Inc 1401 Ezelle St Ruston LA 71270-7218 Ph: (318) 251-3126 |
| NPI Number | 1942786538 |
|---|---|
| Provider Enumeration Date | 07/17/2018 |
| Last Update Date | 05/10/2020 |
| Medicare PECOS PAC ID | 3870842735 |
|---|---|
| Medicare Enrollment ID | O20180827000724 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942786538 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Raman Saharan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801081245 PECOS PAC ID: 1254421563 Enrollment ID: I20110308000939 |
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