| The Rajapho Company Llc | |
|
4811 Ambassador Caffery Pkwy Fl 4 Lafayette LA 70508-7265 | |
| (337) 349-1525 | |
| Not Available |
| Full Name | The Rajapho Company Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4811 Ambassador Caffery Pkwy Fl 4, Lafayette, Louisiana |
| Authorized Official Name and Position | Virasith Rajapho (MD OWNER) |
| Authorized Official Contact | 3373491525 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Rajapho Company Llc 404 Bluebonnet Dr Lafayette LA 70508-6956 Ph: (337) 349-1525 | The Rajapho Company Llc 4811 Ambassador Caffery Pkwy Fl 4 Lafayette LA 70508-7265 Ph: (337) 349-1525 |
| NPI Number | 1861106569 |
|---|---|
| Provider Enumeration Date | 01/09/2023 |
| Last Update Date | 01/09/2023 |
| Medicare PECOS PAC ID | 5597138537 |
|---|---|
| Medicare Enrollment ID | O20230222002230 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861106569 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Virasith Rajapho |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497951446 PECOS PAC ID: 8325237050 Enrollment ID: I20110112000390 |
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