| Health Clinic Of Moss Bluff, Llc | |
|
237 Sam Houston Jones Pkwy Moss Bluff LA 70611-5603 | |
| (337) 786-5007 | |
| (337) 786-5009 |
| Full Name | Health Clinic Of Moss Bluff, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 237 Sam Houston Jones Pkwy, Moss Bluff, Louisiana |
| Authorized Official Name and Position | Jagjit S Chadha (CEO/OWNER) |
| Authorized Official Contact | 3377865007 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Health Clinic Of Moss Bluff, Llc 140 W 4th St Dequincy LA 70633-3508 Ph: (337) 786-5007 | Health Clinic Of Moss Bluff, Llc 237 Sam Houston Jones Pkwy Moss Bluff LA 70611-5603 Ph: (337) 786-5007 |
| NPI Number | 1679904387 |
|---|---|
| Provider Enumeration Date | 12/05/2013 |
| Last Update Date | 02/03/2014 |
| Medicare PECOS PAC ID | 2961633714 |
|---|---|
| Medicare Enrollment ID | O20140320001496 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679904387 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 13084R (Louisiana) | Secondary |
| 207R00000X | Internal Medicine | 13083R (Louisiana) | Primary |
| Provider Name | Nandita Chadha |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558418533 PECOS PAC ID: 3870598741 Enrollment ID: I20100908000520 |
| Provider Name | Jagjit Singh Chadha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144377128 PECOS PAC ID: 5698770568 Enrollment ID: I20100910000163 |
| Provider Name | Robin Bedgood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336490986 PECOS PAC ID: 3779735741 Enrollment ID: I20121221000029 |
| Provider Name | Alicia G. Larocque |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164845905 PECOS PAC ID: 6305067588 Enrollment ID: I20141103000419 |
| Provider Name | Nafessa Zindani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538669361 PECOS PAC ID: 6103163050 Enrollment ID: I20190130001557 |