| Central Louisiana Physicians, Llc | |
|
3330 Masonic Dr Alexandria LA 71301-3841 | |
| (318) 487-1122 | |
| Not Available |
| Full Name | Central Louisiana Physicians, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3330 Masonic Dr, Alexandria, Louisiana |
| Authorized Official Name and Position | Lisha Falk (VP OF CONTRACTING) |
| Authorized Official Contact | 3376091221 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Louisiana Physicians, Llc 200 Corporate Blvd Lafayette LA 70508-3870 Ph: (800) 893-9698 | Central Louisiana Physicians, Llc 3330 Masonic Dr Alexandria LA 71301-3841 Ph: (318) 487-1122 |
| NPI Number | 1417738675 |
|---|---|
| Provider Enumeration Date | 10/12/2023 |
| Last Update Date | 01/03/2024 |
| Medicare PECOS PAC ID | 9335598499 |
|---|---|
| Medicare Enrollment ID | O20231214001308 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417738675 | NPI | - | NPPES |
| Provider Name | Juan Carlos V Soliven |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1306895602 PECOS PAC ID: 0547154197 Enrollment ID: I20040212000821 |
| Provider Name | Elsie Mensah-armoo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750467015 PECOS PAC ID: 5799685491 Enrollment ID: I20041130000166 |
| Provider Name | Thomas Steen Trawick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487652970 PECOS PAC ID: 3678527256 Enrollment ID: I20050307000413 |
| Provider Name | Amir Habibollah Ausef |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528046315 PECOS PAC ID: 3870517758 Enrollment ID: I20060118000605 |
| Provider Name | Binitha Joseph |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881893139 PECOS PAC ID: 2567537798 Enrollment ID: I20080821000624 |
| Provider Name | Sadie M Ardoin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053567750 PECOS PAC ID: 5698833374 Enrollment ID: I20081024000158 |
| Provider Name | Olayiwola Salmon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457585739 PECOS PAC ID: 7012062029 Enrollment ID: I20090826000943 |
| Provider Name | Gillian Ann Ellis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811196215 PECOS PAC ID: 7719026459 Enrollment ID: I20100706000717 |
| Provider Name | Mohammad M Saidan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336455377 PECOS PAC ID: 6204025877 Enrollment ID: I20110112000947 |
| Provider Name | Omotayo M Olatinwo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417120395 PECOS PAC ID: 3476733106 Enrollment ID: I20110211000593 |
| Provider Name | Byron Herpich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164629515 PECOS PAC ID: 6002931839 Enrollment ID: I20110825000648 |
| Provider Name | Beckie L Vincent |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063710093 PECOS PAC ID: 2062682644 Enrollment ID: I20110909002620 |
| Provider Name | Herman L Toliver |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841481041 PECOS PAC ID: 3971756271 Enrollment ID: I20130118000022 |
| Provider Name | Kayla R Fung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609122688 PECOS PAC ID: 2466696745 Enrollment ID: I20130926000845 |
| Provider Name | Logan M Atkins |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1043577984 PECOS PAC ID: 8224252580 Enrollment ID: I20140607000181 |
| Provider Name | Troy William Antill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043585300 PECOS PAC ID: 4385867209 Enrollment ID: I20150916002648 |
| Provider Name | Wonestta A Collins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417203746 PECOS PAC ID: 9830407196 Enrollment ID: I20151006002033 |
| Provider Name | Marlon Medford |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053545152 PECOS PAC ID: 0143501676 Enrollment ID: I20161221001384 |
| Provider Name | Candice Desselle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265970719 PECOS PAC ID: 9830474493 Enrollment ID: I20170322000113 |
| Provider Name | Misty Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205340007 PECOS PAC ID: 4981968534 Enrollment ID: I20180507000830 |
| Provider Name | Thomas Kazecki |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447677810 PECOS PAC ID: 2365744869 Enrollment ID: I20180726000676 |
| Provider Name | William Lyan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518450154 PECOS PAC ID: 0648520486 Enrollment ID: I20180829001144 |
| Provider Name | Abhishek Appukuttan Nair |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326427089 PECOS PAC ID: 3779833207 Enrollment ID: I20180905000165 |
| Provider Name | Leonard Addae |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659791861 PECOS PAC ID: 7012286321 Enrollment ID: I20181019001443 |
| Provider Name | Chad Gibson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619357209 PECOS PAC ID: 7810295193 Enrollment ID: I20190326001471 |
| Provider Name | Muhannad M Al Qudsi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528297850 PECOS PAC ID: 2769632785 Enrollment ID: I20190824000149 |
| Provider Name | Murshed Nawaz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619533536 PECOS PAC ID: 9032441696 Enrollment ID: I20191031000523 |
| Provider Name | Demarcquanaee V Johnson-peters |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710341219 PECOS PAC ID: 9032403290 Enrollment ID: I20191106002044 |
| Provider Name | Prathapraju Poloju |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902258171 PECOS PAC ID: 7214220318 Enrollment ID: I20191118002657 |
| Provider Name | Allison J Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972158152 PECOS PAC ID: 5890127328 Enrollment ID: I20191121000366 |
| Provider Name | Jaya Raghu Teja Teja Gadivemula |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639551039 PECOS PAC ID: 2961837679 Enrollment ID: I20200127000271 |
| Provider Name | Michael C Lysek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265968853 PECOS PAC ID: 3173874823 Enrollment ID: I20200520001325 |
| Provider Name | Anju Varanasi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407070162 PECOS PAC ID: 3971603622 Enrollment ID: I20200521001952 |
| Provider Name | Jasmin Demerson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396276713 PECOS PAC ID: 7113290651 Enrollment ID: I20200713001884 |
| Provider Name | Rimoun Hakim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417397092 PECOS PAC ID: 8628211984 Enrollment ID: I20200805001353 |
| Provider Name | Andre Morgan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215461801 PECOS PAC ID: 0244656288 Enrollment ID: I20200820002091 |
| Provider Name | Tarig Mabrouk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285114926 PECOS PAC ID: 0143647909 Enrollment ID: I20200826000060 |
| Provider Name | Philip O Kanemo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265954556 PECOS PAC ID: 7113346602 Enrollment ID: I20201002000176 |
| Provider Name | Emre Bucak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841640166 PECOS PAC ID: 0244644375 Enrollment ID: I20210201000063 |
| Provider Name | Edna Wong Mckinstry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295997211 PECOS PAC ID: 0547431447 Enrollment ID: I20210201000851 |
| Provider Name | Rajender Agarwal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659687788 PECOS PAC ID: 8224270939 Enrollment ID: I20210323002101 |
| Provider Name | Olatunji Olaoye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962668970 PECOS PAC ID: 2961690839 Enrollment ID: I20210413000563 |
| Provider Name | John R Mercke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821594763 PECOS PAC ID: 1456602937 Enrollment ID: I20210729001894 |
| Provider Name | Akhil Pulisetty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508350018 PECOS PAC ID: 0244635563 Enrollment ID: I20210825002107 |
| Provider Name | Justine Elodia Henao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902808645 PECOS PAC ID: 2769458561 Enrollment ID: I20211006000289 |
| Provider Name | Caleb Melancon |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225415755 PECOS PAC ID: 5496026908 Enrollment ID: I20211020002902 |
| Provider Name | Hirenkumar Damjighai Italia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487815387 PECOS PAC ID: 7012164718 Enrollment ID: I20211028000085 |
| Provider Name | Obinna Kelechi Echeruo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649775818 PECOS PAC ID: 9032507603 Enrollment ID: I20211101001816 |
| Provider Name | Hiba Rehman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295186609 PECOS PAC ID: 7315373701 Enrollment ID: I20211111001201 |
| Provider Name | Matthew Bentley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316144280 PECOS PAC ID: 0941493597 Enrollment ID: I20220502001116 |
| Provider Name | Moneeb Sefeldawla Mustafa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720569015 PECOS PAC ID: 0143608828 Enrollment ID: I20220608002731 |
| Provider Name | Ashley R Billings |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144782996 PECOS PAC ID: 4587994264 Enrollment ID: I20220921001137 |
| Provider Name | Sheriffdeen Olalekan Ilo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184910382 PECOS PAC ID: 6305088766 Enrollment ID: I20221028001351 |
| Provider Name | Brian Slipman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710449038 PECOS PAC ID: 8426387754 Enrollment ID: I20221031002378 |
| Provider Name | Doreen Lindsay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649293184 PECOS PAC ID: 0840299624 Enrollment ID: I20221104000317 |
| Provider Name | Lois Anne Buller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033670005 PECOS PAC ID: 7214267970 Enrollment ID: I20221108002051 |
| Provider Name | Sudheer Konduru |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538727409 PECOS PAC ID: 1254708886 Enrollment ID: I20221110000865 |
| Provider Name | William Frederick Krooss |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588653901 PECOS PAC ID: 5193778090 Enrollment ID: I20230110001770 |
| Provider Name | Clay Dean Bryant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730801754 PECOS PAC ID: 1153792908 Enrollment ID: I20230113002639 |
| Provider Name | Akachi C Azubuike |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467867762 PECOS PAC ID: 0941511471 Enrollment ID: I20230210000610 |
| Provider Name | Patrick Igharosa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336675032 PECOS PAC ID: 3678818663 Enrollment ID: I20230216001269 |
| Provider Name | Umama Zareen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235781154 PECOS PAC ID: 7416329628 Enrollment ID: I20230216003077 |
| Provider Name | Chukwudi Eke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801066733 PECOS PAC ID: 7012078553 Enrollment ID: I20230403001384 |
| Provider Name | Soubhi None Altaki |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518215011 PECOS PAC ID: 2668773060 Enrollment ID: I20230410000090 |
| Provider Name | Joshua D Sifuentes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629425913 PECOS PAC ID: 7517251861 Enrollment ID: I20230413000115 |
| Provider Name | Takazvida Nyaundi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124581608 PECOS PAC ID: 7517325947 Enrollment ID: I20230616001928 |
| Provider Name | George Zhongshan Wang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982655403 PECOS PAC ID: 5597832824 Enrollment ID: I20230712000003 |
| Provider Name | Kashif A Janjua |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558522730 PECOS PAC ID: 5597938282 Enrollment ID: I20230712001124 |
| Provider Name | Philip Bouchette |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750813259 PECOS PAC ID: 5092175679 Enrollment ID: I20230713003132 |
| Provider Name | Robin Mccarthy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669978169 PECOS PAC ID: 1254731219 Enrollment ID: I20231010001516 |
| Provider Name | Gene Chibuchim Otuonye |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1407341381 PECOS PAC ID: 7315394723 Enrollment ID: I20231107001658 |
| Provider Name | Muhammad Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942863600 PECOS PAC ID: 4587991633 Enrollment ID: I20231115000041 |
| Provider Name | Aaron Patrick Best |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013954320 PECOS PAC ID: 2668440918 Enrollment ID: I20240223002993 |
| Provider Name | Michael Falaye |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912492943 PECOS PAC ID: 5799192878 Enrollment ID: I20240305003287 |
| Provider Name | Sergey Kuharevic |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376960203 PECOS PAC ID: 7012137102 Enrollment ID: I20240318003438 |
| Provider Name | Olayemi Bolarinwa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376006460 PECOS PAC ID: 9638569700 Enrollment ID: I20240319000136 |
| Provider Name | Daniel Aboyawoh Njingeh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609184506 PECOS PAC ID: 3173762853 Enrollment ID: I20240321002384 |
| Provider Name | Michele Elisabeth Brengs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457798068 PECOS PAC ID: 4486895752 Enrollment ID: I20240423002456 |
| Provider Name | Ashley N Strickland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376308783 PECOS PAC ID: 6002255098 Enrollment ID: I20240424000928 |
| Provider Name | Ruchita Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083034771 PECOS PAC ID: 1557683174 Enrollment ID: I20240509003803 |
| Provider Name | Sameer Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972725083 PECOS PAC ID: 6406921311 Enrollment ID: I20240514000473 |
| Provider Name | Heather Adalynne Luper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568226462 PECOS PAC ID: 2668914474 Enrollment ID: I20240607003122 |
| Provider Name | Jamil Meloelain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538262076 PECOS PAC ID: 0749206977 Enrollment ID: I20240618001541 |
| Provider Name | Ebuka Udorji |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235700535 PECOS PAC ID: 2860860368 Enrollment ID: I20240716001177 |
| Provider Name | Tran Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700378148 PECOS PAC ID: 2062819451 Enrollment ID: I20240727000630 |
| Provider Name | Muhammad Junaid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629428826 PECOS PAC ID: 6305197674 Enrollment ID: I20240828000184 |
| Provider Name | Muhanad Hreh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982193702 PECOS PAC ID: 5597162800 Enrollment ID: I20240828000826 |
| Provider Name | Jessica Abhulimhen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639665136 PECOS PAC ID: 0446653554 Enrollment ID: I20240917004809 |
| Provider Name | Henykumar Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851754550 PECOS PAC ID: 4587901921 Enrollment ID: I20240926002617 |
| Provider Name | Surabh Khanal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639602535 PECOS PAC ID: 1355615188 Enrollment ID: I20240927001065 |
| Provider Name | Keely Elizabeth Fischbach |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407155666 PECOS PAC ID: 9436375409 Enrollment ID: I20241001000763 |
| Provider Name | Lynn Crocker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558357947 PECOS PAC ID: 3577548791 Enrollment ID: I20241003000073 |
| Provider Name | Neelam Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427021435 PECOS PAC ID: 0547274433 Enrollment ID: I20241010002962 |
| Provider Name | Purav A Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902338742 PECOS PAC ID: 7719224104 Enrollment ID: I20241015003701 |
| Provider Name | Usha Bangalore Krishnappa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821300278 PECOS PAC ID: 8325282213 Enrollment ID: I20241018003529 |
| Provider Name | Danial Arshad Soleja |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770970451 PECOS PAC ID: 6002163631 Enrollment ID: I20241021002798 |
| Provider Name | Tesfaye Nigussie Admasu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144892357 PECOS PAC ID: 8224561550 Enrollment ID: I20241025000003 |
| Provider Name | Fahad Khateeb |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285861401 PECOS PAC ID: 2163670415 Enrollment ID: I20241103000095 |
| Provider Name | Lorenzo Elliott Leys |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1427547710 PECOS PAC ID: 7214460906 Enrollment ID: I20241104000093 |
| Provider Name | Ankur Pradhan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043708407 PECOS PAC ID: 8426303827 Enrollment ID: I20241104003257 |
| Provider Name | Muhammad Asghar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063862795 PECOS PAC ID: 3870860547 Enrollment ID: I20241121002816 |
| Provider Name | Rama Krishna Reddy Mukkara Siva |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689993297 PECOS PAC ID: 5395987705 Enrollment ID: I20241204004698 |
| Provider Name | Munsif Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881973147 PECOS PAC ID: 2668628371 Enrollment ID: I20241219004453 |
| Provider Name | Adedoyin Ibrahim Shittu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124606264 PECOS PAC ID: 9436590023 Enrollment ID: I20250106003739 |
| Provider Name | Parijat Joy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922261387 PECOS PAC ID: 1759436843 Enrollment ID: I20250326001338 |
| Provider Name | Adnan Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558865097 PECOS PAC ID: 8628324852 Enrollment ID: I20250404002958 |
| Provider Name | Brandon Frett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154765618 PECOS PAC ID: 2163700212 Enrollment ID: I20250522002060 |
Brian Clinic, L.l.p. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 425 Scott St, Alexandria, LA 71301 Phone: 318-445-7355 Fax: 318-487-8035 | |
Winn Community Health Center, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1951 Monroe St, Alexandria, LA 71301 Phone: 318-648-0375 | |
Winn Community Health Center, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2200 N Bolton Ave, Alexandria, LA 71303 Phone: 318-648-0375 | |
Winn Community Health Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3425 North Blvd, Alexandria, LA 71301 Phone: 318-648-0375 | |
Parham Bahador, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 N 3rd St, Alexandria, LA 71301 Phone: 817-966-3145 | |
Alexandria Rheumatology, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3311 Prescott Rd Ste 211, Alexandria, LA 71301 Phone: 318-767-8393 Fax: 318-767-8399 | |
Internal Medicine Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 4th St # 30129, Alexandria, LA 71301 Phone: 318-448-1249 Fax: 318-448-5322 |