| Anu Gupta Desai, M.d., Llc | |
|
155 Hospital Dr., Ste 300 Lafayette LA 70503 | |
| (337) 235-6263 | |
| (337) 234-9629 |
| Full Name | Anu Gupta Desai, M.d., Llc |
|---|---|
| Speciality | Ophthalmology |
| Location | 155 Hospital Dr., Ste 300, Lafayette, Louisiana |
| Authorized Official Name and Position | Anu Gupta Desai (PHYSICIAN/OWNER) |
| Authorized Official Contact | 3372356263 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anu Gupta Desai, M.d., Llc 155 Hospital Dr., Ste 300 Lafayette LA 70503 Ph: (337) 235-6263 | Anu Gupta Desai, M.d., Llc 155 Hospital Dr., Ste 300 Lafayette LA 70503 Ph: (337) 235-6263 |
| NPI Number | 1427425883 |
|---|---|
| Provider Enumeration Date | 09/01/2015 |
| Last Update Date | 06/29/2022 |
| Medicare PECOS PAC ID | 3375845563 |
|---|---|
| Medicare Enrollment ID | O20160105001582 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427425883 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 203090 (Louisiana) | Secondary |
| 207W00000X | Ophthalmology | (* (Not Available)) | Primary |
| Provider Name | Anu G Desai |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1013125079 PECOS PAC ID: 8022292119 Enrollment ID: I20160105001663 |
| Provider Name | Emily M Prouet |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1043653439 PECOS PAC ID: 8325284011 Enrollment ID: I20190618000525 |
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