| Urgent Care And Family Medicine Clinic | |
|
4802 Jones Creek Rd Baton Rouge LA 70817-1527 | |
| (225) 755-0095 | |
| (225) 755-8025 |
| Full Name | Urgent Care And Family Medicine Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 4802 Jones Creek Rd, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Saiyid R Wahid (PHYSICIAN/OWNER) |
| Authorized Official Contact | 2257550095 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Urgent Care And Family Medicine Clinic 4802 Jones Creek Rd Baton Rouge LA 70817-1527 Ph: (225) 755-0096 | Urgent Care And Family Medicine Clinic 4802 Jones Creek Rd Baton Rouge LA 70817-1527 Ph: (225) 755-0095 |
| NPI Number | 1639257769 |
|---|---|
| Provider Enumeration Date | 11/02/2006 |
| Last Update Date | 11/14/2018 |
| Medicare PECOS PAC ID | 0840320495 |
|---|---|
| Medicare Enrollment ID | O20100609000255 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639257769 | NPI | - | NPPES |
| 1449105 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 10247R (Louisiana) | Primary |
| Provider Name | Saiyid R Wahid |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548246093 PECOS PAC ID: 7810027463 Enrollment ID: I20101028001145 |
| Provider Name | Joi Shy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760890115 PECOS PAC ID: 9638497480 Enrollment ID: I20150408000506 |
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