| Dr Ebuka Udorji, MD | |
|
1501 Kings Hwy, Shreveport, LA 71103-4228 | |
| (318) 626-4092 | |
| Not Available |
| Full Name | Dr Ebuka Udorji |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Location | 1501 Kings Hwy, Shreveport, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235700535 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 341395 (Louisiana) | Secondary |
| 208M00000X | Hospitalist | 341395 (Louisiana) | Primary |
| Entity Name | Our Lady Of The Lake Physician Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033494943 PECOS PAC ID: 4587849781 Enrollment ID: O20120529000377 |
| Entity Name | Lourdes Physician Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437405883 PECOS PAC ID: 7214177757 Enrollment ID: O20130705000541 |
| Entity Name | Central Louisiana Physicians, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417738675 PECOS PAC ID: 9335598499 Enrollment ID: O20231214001308 |
| Entity Name | Southwest Louisiana Physicians, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972384139 PECOS PAC ID: 7315396355 Enrollment ID: O20231215000905 |
| Entity Name | Northeast Louisiana Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407637671 PECOS PAC ID: 2365885944 Enrollment ID: O20240212000148 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ebuka Udorji, MD 200 Corporate Blvd, Lafayette, LA 70508-3870 Ph: (800) 893-9698 | Dr Ebuka Udorji, MD 1501 Kings Hwy, Shreveport, LA 71103-4228 Ph: (318) 626-4092 |
Muhammad Hamza Khan, M.D. Hospitalist Medicare: Medicare Enrolled Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000 | |
Dr. Amy Kathryn Gessford, D.O. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1453 E Bert Kouns Industrial Loop, Shreveport, LA 71105 Phone: 318-681-4500 Fax: 318-681-5551 | |
Shafaqat Ali, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000 | |
Michael Robert Sewell, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000 Fax: 318-629-4833 | |
Dr. Indira Srinivasa Rao, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 510 E Stoner Ave, Shreveport, LA 71101 Phone: 318-221-8411 | |
Dr. Yanet Maria Perez Garcia, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 8001 Youree Dr Ste 4007, Shreveport, LA 71115 Phone: 318-212-3821 | |
Paul Taylor Guidry, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1500 Line Ave Ste 204, Shreveport, LA 71101 Phone: 318-300-4926 Fax: 318-383-3951 |