| Northeast Louisiana Physicians, Llc | |
|
2531 Viking Dr Bossier City LA 71111-2103 | |
| (318) 681-7000 | |
| Not Available |
| Full Name | Northeast Louisiana Physicians, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2531 Viking Dr, Bossier City, 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 |
|---|---|
| Northeast Louisiana Physicians, Llc 200 Corporate Blvd Lafayette LA 70508-3870 Ph: (800) 893-9698 | Northeast Louisiana Physicians, Llc 2531 Viking Dr Bossier City LA 71111-2103 Ph: (318) 681-7000 |
| NPI Number | 1407637671 |
|---|---|
| Provider Enumeration Date | 10/12/2023 |
| Last Update Date | 01/03/2024 |
| Medicare PECOS PAC ID | 2365885944 |
|---|---|
| Medicare Enrollment ID | O20240212000148 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407637671 | NPI | - | NPPES |
| Provider Name | Thomas Steen Trawick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487652970 PECOS PAC ID: 3678527256 Enrollment ID: I20050307000413 |
| Provider Name | Rajan Khanna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770581225 PECOS PAC ID: 1456387299 Enrollment ID: I20050713000021 |
| Provider Name | Peyman Roohani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285632745 PECOS PAC ID: 8325074172 Enrollment ID: I20050713000041 |
| Provider Name | Amir Habibollah Ausef |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528046315 PECOS PAC ID: 3870517758 Enrollment ID: I20060118000605 |
| Provider Name | Stephen R Maxwell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700086063 PECOS PAC ID: 6709948904 Enrollment ID: I20081223000159 |
| Provider Name | Olayiwola Salmon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457585739 PECOS PAC ID: 7012062029 Enrollment ID: I20090826000943 |
| Provider Name | Cherinet Siraw Adgeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568663763 PECOS PAC ID: 2163553694 Enrollment ID: I20100628000839 |
| Provider Name | Byron Herpich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164629515 PECOS PAC ID: 6002931839 Enrollment ID: I20110825000648 |
| Provider Name | Sreekanth Depa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487821898 PECOS PAC ID: 2163694712 Enrollment ID: I20111004000652 |
| Provider Name | Robert Todd Rickman |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1417168782 PECOS PAC ID: 0042476418 Enrollment ID: I20120730000646 |
| Provider Name | Herman L Toliver |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841481041 PECOS PAC ID: 3971756271 Enrollment ID: I20130118000022 |
| Provider Name | Deepthi Panjam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700018298 PECOS PAC ID: 7315195930 Enrollment ID: I20150915000041 |
| Provider Name | Troy William Antill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043585300 PECOS PAC ID: 4385867209 Enrollment ID: I20150916002648 |
| Provider Name | Ramee M Dickerson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841674074 PECOS PAC ID: 7315248036 Enrollment ID: I20151222000332 |
| Provider Name | Kwabena O Asafo - Agyei |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073998092 PECOS PAC ID: 4688977820 Enrollment ID: I20181001002902 |
| Provider Name | Muhammad Nauman Riaz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316320393 PECOS PAC ID: 4587923305 Enrollment ID: I20181011000952 |
| Provider Name | Antonya Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679061279 PECOS PAC ID: 6002168432 Enrollment ID: I20181011002371 |
| Provider Name | Kapil Kohli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912177882 PECOS PAC ID: 2961671912 Enrollment ID: I20181015003347 |
| Provider Name | Venkata Vinod Kumar Matli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073998357 PECOS PAC ID: 2365795085 Enrollment ID: I20181026001414 |
| Provider Name | Chad Gibson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619357209 PECOS PAC ID: 7810295193 Enrollment ID: I20190326001471 |
| Provider Name | Murshed Nawaz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619533536 PECOS PAC ID: 9032441696 Enrollment ID: I20191031000523 |
| Provider Name | Ayn Jhasferee Morato |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356793970 PECOS PAC ID: 0042504904 Enrollment ID: I20191101000506 |
| Provider Name | Angela Potter Dison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972156040 PECOS PAC ID: 0749612885 Enrollment ID: I20191112001182 |
| Provider Name | Ajit M Alexander |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861888760 PECOS PAC ID: 8022313360 Enrollment ID: I20191113002183 |
| Provider Name | Anand Bhat |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1992084750 PECOS PAC ID: 2961644075 Enrollment ID: I20200723002147 |
| Provider Name | Sireesha Vutukuri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477900660 PECOS PAC ID: 5890035729 Enrollment ID: I20200810000183 |
| Provider Name | Andre Morgan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215461801 PECOS PAC ID: 0244656288 Enrollment ID: I20200820002091 |
| Provider Name | Chandana Karanam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891189924 PECOS PAC ID: 4981952843 Enrollment ID: I20200915000345 |
| Provider Name | Bilal Nasir |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275054900 PECOS PAC ID: 9032480611 Enrollment ID: I20201007001304 |
| Provider Name | Edna Wong Mckinstry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295997211 PECOS PAC ID: 0547431447 Enrollment ID: I20210201000851 |
| Provider Name | Amanda Marie Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700401908 PECOS PAC ID: 8820404684 Enrollment ID: I20210303001413 |
| 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 | Chatura Davanmini Jayasinghepatirane |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427549005 PECOS PAC ID: 6204239957 Enrollment ID: I20210719003648 |
| Provider Name | Justine Elodia Henao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902808645 PECOS PAC ID: 2769458561 Enrollment ID: I20211006000289 |
| Provider Name | Hirenkumar Damjighai Italia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487815387 PECOS PAC ID: 7012164718 Enrollment ID: I20211028000085 |
| Provider Name | Jennifer Lynn Sunderland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659948651 PECOS PAC ID: 4486046406 Enrollment ID: I20220124002065 |
| Provider Name | Matthew T Perkins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215496690 PECOS PAC ID: 9436583788 Enrollment ID: I20220622000054 |
| Provider Name | Varsha Pujala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578970398 PECOS PAC ID: 9739485772 Enrollment ID: I20220629000534 |
| Provider Name | Ihianle E Osagie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861044554 PECOS PAC ID: 9335479682 Enrollment ID: I20220818001225 |
| Provider Name | Sheriffdeen Olalekan Ilo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184910382 PECOS PAC ID: 6305088766 Enrollment ID: I20221028001351 |
| Provider Name | Doreen Lindsay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649293184 PECOS PAC ID: 0840299624 Enrollment ID: I20221104000317 |
| Provider Name | Josef Atta Chemtob |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376562132 PECOS PAC ID: 6002813938 Enrollment ID: I20221222000050 |
| Provider Name | Clay Dean Bryant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730801754 PECOS PAC ID: 1153792908 Enrollment ID: I20230113002639 |
| Provider Name | Gerald J Akpassa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447296975 PECOS PAC ID: 9739113952 Enrollment ID: I20230216000420 |
| Provider Name | Tharun Paruchuri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376047886 PECOS PAC ID: 0446582860 Enrollment ID: I20230222001105 |
| Provider Name | Laura M Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295238012 PECOS PAC ID: 5991178782 Enrollment ID: I20230224002608 |
| Provider Name | Carter Vincent Schwartz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578050407 PECOS PAC ID: 8022415405 Enrollment ID: I20230224002619 |
| Provider Name | Joshua D Sifuentes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629425913 PECOS PAC ID: 7517251861 Enrollment ID: I20230413000115 |
| Provider Name | Emad Essam Shoukry |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053318857 PECOS PAC ID: 1759353337 Enrollment ID: I20230522001844 |
| 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 | Clorinda Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861980724 PECOS PAC ID: 5395095558 Enrollment ID: I20230713001400 |
| Provider Name | Philip Bouchette |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750813259 PECOS PAC ID: 5092175679 Enrollment ID: I20230713003132 |
| Provider Name | Anne Burton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366405060 PECOS PAC ID: 5991708067 Enrollment ID: I20230713003758 |
| Provider Name | Hafiza Wajeeha Javaid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629556915 PECOS PAC ID: 3971901968 Enrollment ID: I20230831001550 |
| Provider Name | Faraaz M. Nayeemuddin |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1245612142 PECOS PAC ID: 3870805013 Enrollment ID: I20230921001256 |
| Provider Name | Fiyad A Haniff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043770506 PECOS PAC ID: 3779912910 Enrollment ID: I20240129000470 |
| Provider Name | Natalie Moffit |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235917642 PECOS PAC ID: 2466895420 Enrollment ID: I20240206004033 |
| Provider Name | Felicia Monique Austin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669913851 PECOS PAC ID: 9133548001 Enrollment ID: I20240223000968 |
| Provider Name | Aaron Patrick Best |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013954320 PECOS PAC ID: 2668440918 Enrollment ID: I20240223002993 |
| Provider Name | Talat Hayat Raja |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649408220 PECOS PAC ID: 1052568359 Enrollment ID: I20240226001770 |
| Provider Name | Tina Seecharan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215299854 PECOS PAC ID: 6800172172 Enrollment ID: I20240229003804 |
| Provider Name | Michael Falaye |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912492943 PECOS PAC ID: 5799192878 Enrollment ID: I20240305003287 |
| Provider Name | Abiodun Laoye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255754198 PECOS PAC ID: 9335459601 Enrollment ID: I20240314003059 |
| Provider Name | Sergey Kuharevic |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376960203 PECOS PAC ID: 7012137102 Enrollment ID: I20240318003438 |
| Provider Name | Anna K Plemmons |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295387223 PECOS PAC ID: 6709115025 Enrollment ID: I20240318003687 |
| 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 | Ashish L Rohira |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326084716 PECOS PAC ID: 7416953971 Enrollment ID: I20240508000248 |
| 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 | Kerry Mahan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871556589 PECOS PAC ID: 3274582085 Enrollment ID: I20240515003115 |
| Provider Name | Erik Rubach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790293678 PECOS PAC ID: 2860746674 Enrollment ID: I20240518000555 |
| 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 | Michael W Ebrahim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861071359 PECOS PAC ID: 9436553971 Enrollment ID: I20240812002879 |
| Provider Name | Robert Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467498501 PECOS PAC ID: 2466468764 Enrollment ID: I20240823000520 |
| Provider Name | Muhammad Junaid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629428826 PECOS PAC ID: 6305197674 Enrollment ID: I20240828000184 |
| Provider Name | Megan Claire Haughton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629620240 PECOS PAC ID: 6608278700 Enrollment ID: I20240830001759 |
| Provider Name | Arjan Dass |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639743255 PECOS PAC ID: 6901290287 Enrollment ID: I20240906002105 |
| 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 | Fahad Khateeb |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285861401 PECOS PAC ID: 2163670415 Enrollment ID: I20241103000095 |
| 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 | Kevin Scheppke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609004068 PECOS PAC ID: 9234394545 Enrollment ID: I20241231001000 |
| Provider Name | Raja Suri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740867043 PECOS PAC ID: 0547654857 Enrollment ID: I20250122002468 |
| Provider Name | Celyn Oluwadamilola Idami |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255903035 PECOS PAC ID: 8628508561 Enrollment ID: I20250207001732 |
| 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 |
Bossier Family Medicine, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2539 Viking Dr Ste 101, Bossier City, LA 71111 Phone: 318-747-8100 Fax: 318-747-8151 | |
Rapid Care Of Bossier Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5015 Shed Rd, Suite 400, Bossier City, LA 71111 Phone: 318-584-7301 Fax: 318-741-4496 | |
Charles A Powers Md And Willis-knighton Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2400 Hospital Dr, Suite 420, Bossier City, LA 71111 Phone: 318-212-7910 Fax: 318-212-7915 | |
Willow Chute Medical, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4910 Airline Dr, Bossier City, LA 71111 Phone: 318-349-3921 | |
Abaka Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4438 Viking Dr, Bossier City, LA 71111 Phone: 318-918-0015 Fax: 318-963-0015 | |
Allen Cox Md And Willis-knighton Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2300 Hospital Dr, Suite 200, Bossier City, LA 71111 Phone: 318-212-7830 Fax: 318-212-7835 | |
Injurymd Of Bossier, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5015 Shed Rd Ste 500, Bossier City, LA 71111 Phone: 318-741-5858 Fax: 318-741-4496 |