| |
4114 Marigny St New Orleans LA 70122-4931 | |
(504) 288-2333 | |
(504) 288-2227 |
Full Name | |
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Speciality | Clinic/center - Multi-specialty |
Location | 4114 Marigny St, New Orleans, Louisiana |
Authorized Official Name and Position | Michael Kleamenakis (OWNER) |
Authorized Official Contact | 5042882333 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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4114 Marigny St New Orleans LA 70122-4931 Ph: (504) 288-2333 | 4114 Marigny St New Orleans LA 70122-4931 Ph: (504) 288-2333 |
NPI Number | 1780907782 |
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Provider Enumeration Date | 03/04/2010 |
Last Update Date | 12/12/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1780907782 | NPI | - | NPPES |
1370142 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | 1030-060T (Louisiana) | Primary |
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