| Zachary Internal Medicine Clinic, Llc | |
|
1169 Highway 19 Ste B Slaughter LA 70777-3404 | |
| (225) 570-2257 | |
| (225) 286-4078 |
| Full Name | Zachary Internal Medicine Clinic, Llc |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 1169 Highway 19 Ste B, Slaughter, Louisiana |
| Authorized Official Name and Position | Venu Babu Kakarala (OWNER) |
| Authorized Official Contact | 2255702732 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Zachary Internal Medicine Clinic, Llc 1169 Highway 19 Ste B Slaughter LA 70777-3404 Ph: (225) 570-2257 | Zachary Internal Medicine Clinic, Llc 1169 Highway 19 Ste B Slaughter LA 70777-3404 Ph: (225) 570-2257 |
| NPI Number | 1730634015 |
|---|---|
| Provider Enumeration Date | 08/17/2016 |
| Last Update Date | 11/08/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730634015 | NPI | - | NPPES |
| 2515802 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Slaughter Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3166 Church St, Slaughter, LA 70777 Phone: 225-683-1370 Fax: 225-658-6500 | |
Zachary Internal Medicine Clinic Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1169 Highway 19 Ste B, Slaughter, LA 70777 Phone: 225-570-2257 Fax: 225-286-4078 |