| Niksad Abraham, MD | |
|
2647 S Saint Elizabeth Blvd Ste 300, Gonzales, LA 70737-5017 | |
| (225) 767-3900 | |
| (225) 766-2226 |
| Full Name | Niksad Abraham |
|---|---|
| Gender | Male |
| Speciality | Interventional Cardiology |
| Experience | 23 Years |
| Location | 2647 S Saint Elizabeth Blvd Ste 300, Gonzales, Louisiana |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033246970 | NPI | - | NPPES |
| 2339044 | Medicaid | LA |
| Facility Name | Location | Facility Type |
|---|---|---|
| Our Lady Of The Lake Regional Medical Center | Baton rouge, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Our Lady Of The Lake Physician Group Llc | 4587849781 | 579 |
| Entity Name | Cardiovascular Institute Of The South, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982689113 PECOS PAC ID: 3779497441 Enrollment ID: O20031117000706 |
| 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 | Baton Rouge General Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609134766 PECOS PAC ID: 5193623643 Enrollment ID: O20120621000448 |
| Entity Name | Our Lady Of The Lake Physician Group Llc |
|---|---|
| Entity Type | Part B Supplier - Intensive Cardiac Rehabilitation |
| Entity Identifiers | NPI Number: 1033494943 PECOS PAC ID: 4587849781 Enrollment ID: O20230716000129 |
| Mailing Address | Practice Location Address |
|---|---|
| Niksad Abraham, MD 5959 S Sherwood Forest Blvd, Baton Rouge, LA 70816-6038 Ph: (225) 767-3900 | Niksad Abraham, MD 2647 S Saint Elizabeth Blvd Ste 300, Gonzales, LA 70737-5017 Ph: (225) 767-3900 |
Mydhili Kanumilli, M.D Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 2647 S Saint Elizabeth Blvd, Gonzales, LA 70737 Phone: 225-647-8511 Fax: 225-644-5213 | |
Mason Wade Rau, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 2647 S Saint Elizabeth Blvd Ste 219, Gonzales, LA 70737 Phone: 225-647-8511 Fax: 225-644-8358 | |
Dr. Gretchen Marie Yandle, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 2647 S Saint Elizabeth Blvd, Gonzales, LA 70737 Phone: 225-647-8511 Fax: 225-644-5213 | |
Dr. Rahil Devendra Shah, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1014 Saint Clair Blvd Ste 3030, Gonzales, LA 70737 Phone: 225-765-5500 Fax: 225-743-2546 | |
Dr. Carlos R Vazquez, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 2211 S Burnside Ave, Ste 4, Gonzales, LA 70737 Phone: 225-647-1947 | |
Bernard B Brach, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 2647 S. St Elizabeth Blvd, Gonzales, LA 70737 Phone: 225-647-8511 Fax: 225-644-5213 |