| |
106 Memorial Dr Donaldsonville LA 70346-4337 | |
(225) 473-0000 | |
Not Available |
Full Name | |
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Speciality | Family Medicine |
Location | 106 Memorial Dr, Donaldsonville, Louisiana |
Authorized Official Name and Position | Anu P Vellanki (OWNER) |
Authorized Official Contact | 2259073220 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 419 Gramercy LA 70052-0419 Ph: (225) 869-9200 | 106 Memorial Dr Donaldsonville LA 70346-4337 Ph: (225) 473-0000 |
NPI Number | 1841521200 |
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Provider Enumeration Date | 01/26/2010 |
Last Update Date | 04/19/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1841521200 | NPI | - | NPPES |
1822141 | Medicaid | LA | |
6650933750 | Other | LA | BLUE CROSS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 203358 (Louisiana) | Primary |
207R00000X | Internal Medicine | 12855R (Louisiana) | Secondary |
Children's International, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 419 Memorial Dr., Donaldsonville, LA 70346 Phone: 225-257-4448 Fax: 225-257-4998 | |
Proactive Md La A Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 39018 Hwy 3089, Health Center, Donaldsonville, LA 70346 Phone: 225-725-2005 | |
Calcasieu Urgent Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1299 Marchand Dr, Donaldsonville, LA 70346 Phone: 225-725-0087 | |
Just Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 305 Chetimatches St, Donaldsonville, LA 70346 Phone: 833-784-2669 Fax: 844-784-2329 |