| Kidney Care Of Acadiana In Lafayette | |
|
224 Saint Landry St Suite 3-c Lafayette LA 70506-3549 | |
| (337) 231-5511 | |
| Not Available |
| Full Name | Kidney Care Of Acadiana In Lafayette |
|---|---|
| Speciality | Clinic/center |
| Location | 224 Saint Landry St, Lafayette, Louisiana |
| Authorized Official Name and Position | Masoud Yazdi (OWNER MEDICAL DIREC TOR) |
| Authorized Official Contact | 3372333538 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kidney Care Of Acadiana In Lafayette 224 Saint Landry St Suite 3-c Lafayette LA 70506-3549 Ph: (337) 231-5511 | Kidney Care Of Acadiana In Lafayette 224 Saint Landry St Suite 3-c Lafayette LA 70506-3549 Ph: (337) 231-5511 |
| NPI Number | 1245304674 |
|---|---|
| Provider Enumeration Date | 11/18/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245304674 | NPI | - | NPPES |
| 1116394 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 261Q00000X (Louisiana) | Primary |
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