Ben Doga, M.d., L.l.c. | |
204 Acacia Dr Lafayette LA 70508-4004 | |
(337) 962-1461 | |
Not Available |
Full Name | Ben Doga, M.d., L.l.c. |
---|---|
Speciality | Family Medicine |
Location | 204 Acacia Dr, Lafayette, Louisiana |
Authorized Official Name and Position | Benjamin N. Doga (OWNER) |
Authorized Official Contact | 3379621461 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Ben Doga, M.d., L.l.c. 204 Acacia Dr Lafayette LA 70508-4004 Ph: (337) 962-1461 | Ben Doga, M.d., L.l.c. 204 Acacia Dr Lafayette LA 70508-4004 Ph: (337) 962-1461 |
NPI Number | 1720324221 |
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Provider Enumeration Date | 01/02/2013 |
Last Update Date | 01/02/2013 |
Medicare PECOS PAC ID | 9234375684 |
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Medicare Enrollment ID | O20130410000063 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720324221 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 024788 (Louisiana) | Primary |
Provider Name | Benjamin N Doga |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1861419848 PECOS PAC ID: 0244238921 Enrollment ID: I20110110000074 |
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