| Jay Philip Fakier, MD | |
|
510 E Stoner Ave, Shreveport, LA 71101-4243 | |
| (985) 859-9669 | |
| Not Available |
| Full Name | Jay Philip Fakier |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 510 E Stoner Ave, 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 |
|---|---|---|---|
| 1730200866 | NPI | - | NPPES |
| 1054925 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 201278 (Louisiana) | Primary |
| Entity Name | Diagnostic Imaging Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194807271 PECOS PAC ID: 9133183213 Enrollment ID: O20041118000039 |
| Mailing Address | Practice Location Address |
|---|---|
| Jay Philip Fakier, MD 436 Railsback St, Shreveport, LA 71106-7726 Ph: (985) 859-9669 | Jay Philip Fakier, MD 510 E Stoner Ave, Shreveport, LA 71101-4243 Ph: (985) 859-9669 |
Dr. Srinivas Potturi, M.D., Radiology Medicare: Not Enrolled in Medicare Practice Location: 510 E Stoner Ave, Shreveport, LA 71101 Phone: 318-221-8411 | |
Dr. Russell Scott Anderson, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000 | |
Tahir Ahmad, Radiology Medicare: Medicare Enrolled Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000 | |
Linda Angell Nall, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1501 Kings Hwy, Department Of Radiology, Shreveport, LA 71103 Phone: 318-675-7737 Fax: 318-675-5666 | |
Joseph W Milner Jr., MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 510 E Stoner Ave, Shreveport, LA 71101 Phone: 318-221-8411 | |
Jose Alba, MD Radiology Medicare: Medicare Enrolled Practice Location: 2600 Greenwood Rd, Shreveport, LA 71103 Phone: 318-212-4550 | |
Dr. Naveen Gunji, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000 |