| Umashankar Kandasamy, MD | |
|
4864 Jackson St, Monroe, LA 71202-6400 | |
| (318) 330-7000 | |
| Not Available |
| Full Name | Umashankar Kandasamy |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 4864 Jackson St, Monroe, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316384241 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 301727 (Louisiana) | Primary |
| Entity Name | Brfhh Monroe Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811324882 PECOS PAC ID: 0042446577 Enrollment ID: O20140403001947 |
| Entity Name | Lsu Health Sciences Center Shreveport Faculty Group Practice |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013374222 PECOS PAC ID: 4082902721 Enrollment ID: O20161012000307 |
| Mailing Address | Practice Location Address |
|---|---|
| Umashankar Kandasamy, MD 1541 Kings Hwy, Attn: Payor Credentialing, Shreveport, LA 71103-4228 Ph: (318) 626-0287 | Umashankar Kandasamy, MD 4864 Jackson St, Monroe, LA 71202-6400 Ph: (318) 330-7000 |
Barrington L Ricks, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 920 Oliver Rd, Suite 3, Monroe, LA 71201 Phone: 318-323-8824 Fax: 318-323-8823 | |
Dr. Taylor Brooke Shepherd, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2600 Tower Dr Ste 214, Monroe, LA 71201 Phone: 318-323-8824 | |
Nancy L Zukowski, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3401 Magnolia Cv, Monroe, LA 71203 Phone: 318-325-6311 Fax: 318-361-9805 | |
Nour Khalid Abu Saleh, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2915 Betin Ave, Monroe, LA 71201 Phone: 318-651-9945 Fax: 318-322-5141 | |
Dr. Martin C Young, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2915 Betin Ave, Monroe, LA 71201 Phone: 318-561-9945 | |
Gary E Stanley, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 920 Oliver Rd, Suite 3, Monroe, LA 71201 Phone: 318-323-8824 Fax: 318-323-8823 |