| Wk Nw Louisiana Infectious Disease Consultants | |
|
2551 Greenwood Rd Suite 150 Shreveport LA 71103-3981 | |
| (318) 212-6888 | |
| (318) 212-6890 |
| Full Name | Wk Nw Louisiana Infectious Disease Consultants |
|---|---|
| Speciality | Internal Medicine |
| Location | 2551 Greenwood Rd, Shreveport, Louisiana |
| Authorized Official Name and Position | Greg J Gavin (NETWORK ADMINISTRATOR) |
| Authorized Official Contact | 3182128780 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wk Nw Louisiana Infectious Disease Consultants 2551 Greenwood Rd Suite 150 Shreveport LA 71103-3981 Ph: (318) 212-6888 | Wk Nw Louisiana Infectious Disease Consultants 2551 Greenwood Rd Suite 150 Shreveport LA 71103-3981 Ph: (318) 212-6888 |
| NPI Number | 1508110552 |
|---|---|
| Provider Enumeration Date | 10/30/2012 |
| Last Update Date | 08/27/2013 |
| Medicare PECOS PAC ID | 6800041419 |
|---|---|
| Medicare Enrollment ID | O20130306000131 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508110552 | NPI | - | NPPES |
| 268368 | Other | LA | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | Jihad Michel El-hayek |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1538354451 PECOS PAC ID: 7012181886 Enrollment ID: I20111114000757 |
| Provider Name | Halim S Abou Faycal |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1942241708 PECOS PAC ID: 7214932029 Enrollment ID: I20130111000357 |
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