| Alexandria Rheumatology, Llc | |
|
3311 Prescott Rd Ste 211 Alexandria LA 71301-3983 | |
| (318) 767-8393 | |
| (318) 767-8399 |
| Full Name | Alexandria Rheumatology, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3311 Prescott Rd Ste 211, Alexandria, Louisiana |
| Authorized Official Name and Position | Mohammad Izzat Shbeeb (PHYSICIAN) |
| Authorized Official Contact | 3187678393 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alexandria Rheumatology, Llc 3311 Prescott Rd Ste 211 Alexandria LA 71301-3983 Ph: (318) 767-8393 | Alexandria Rheumatology, Llc 3311 Prescott Rd Ste 211 Alexandria LA 71301-3983 Ph: (318) 767-8393 |
| NPI Number | 1073774030 |
|---|---|
| Provider Enumeration Date | 06/23/2008 |
| Last Update Date | 11/19/2018 |
| Medicare PECOS PAC ID | 5698816650 |
|---|---|
| Medicare Enrollment ID | O20100113000187 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073774030 | NPI | - | NPPES |
| 1690317 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 11711R (Louisiana) | Primary |
| Provider Name | Mohammad Shbeeb |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1255361069 PECOS PAC ID: 5890836852 Enrollment ID: I20100113000170 |
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