| Premium United Care Llc | |
|
17000 Medical Center Dr Baton Rouge LA 70816-3246 | |
| (214) 909-9071 | |
| Not Available |
| Full Name | Premium United Care Llc |
|---|---|
| Speciality | Internal Medicine - Infectious Disease |
| Location | 17000 Medical Center Dr, Baton Rouge, Louisiana |
| Authorized Official Name and Position | John O Nnadi (CEO) |
| Authorized Official Contact | 2149099071 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premium United Care Llc 2925 Tradition Ave Baton Rouge LA 70810-0336 Ph: () - | Premium United Care Llc 17000 Medical Center Dr Baton Rouge LA 70816-3246 Ph: (214) 909-9071 |
| NPI Number | 1285067751 |
|---|---|
| Provider Enumeration Date | 08/19/2013 |
| Last Update Date | 03/28/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285067751 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | 202997 (Louisiana) | Primary |
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