Pediatric Cardiology Of Southwest Louisiana, Llc in Lake Charles - Pediatric Cardiology
Pediatric Cardiology Of Southwest Louisiana, Llc - NPI 1962559740
Pediatric Cardiology Of Southwest Louisiana, Llc is a Pediatric Cardiology in Lake Charles, Louisiana. Pediatric Cardiology Of Southwest Louisiana, Llc practices all healthcare services and medical treatments related to Pediatric Cardiology. The NPI Number for Pediatric Cardiology Of Southwest Louisiana, Llc is 1962559740. The last update date is 2017-04-10.
Pediatric Cardiology Of Southwest Louisiana, Llc's current location address is 2005 Southwood Dr, Lake Charles, Louisiana. You can contact this provider via phone number 3375622293 and fax number 3375621469. The mailing address for Pediatric Cardiology Of Southwest Louisiana, Llc is 2005 Southwood Dr, Lake Charles, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pediatric Cardiology Of Southwest Louisiana, Llc |
|---|---|
| Address | 2005 Southwood Dr, Lake Charles, Louisiana |
| Phone Number | 3375622293 |
| Fax Number | 3375621469 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Kattash M Mudar |
| Credentials | M.D. |
| Telephone Number | 3375622293 |
NPI Number Detail
| NPI Number | 1962559740 |
|---|---|
| Provider Enumeration Date | 2007-01-04 |
| Last Updated Date | 2017-04-10 |
Provider Mailing Address Detail
| Address | 2005 Southwood Dr |
|---|---|
| City | Lake Charles |
| State | Louisiana (LA) |
| Post Code | 706054139 |
| Phone Number | 3375622293 |
| Fax Number | 3375621469 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Cardiology |
|---|---|
| Taxonomy | 2080P0202X |
| Licence No | MD.12869R |
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Definition: A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinica |
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What is the unique identification code assigned to Pediatric Cardiology Of Southwest Louisiana, Llc by the Centers for Medicare & Medicaid Services?
The Pediatric Cardiology Of Southwest Louisiana, Llc has been issued the NPI (National Provider Identifier) 1962559740. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Pediatric Cardiology Of Southwest Louisiana, Llc is located?
The Pediatric Cardiology Of Southwest Louisiana, Llc is situated at the following address: 2005 Southwood Dr, Lake Charles, LA, 706054139.
What is the area of specialization for Pediatric Cardiology Of Southwest Louisiana, Llc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Pediatric Cardiology Of Southwest Louisiana, Llc is Pediatric Cardiology, and the corresponding taxonomy code that categorizes this area of expertise is 2080P0202X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1962559740 to Pediatric Cardiology Of Southwest Louisiana, Llc?
The Centers for Medicare & Medicaid Services originally issued the 1962559740 to Pediatric Cardiology Of Southwest Louisiana, Llc on 2007-01-04.
As of what date were the details pertaining to Pediatric Cardiology Of Southwest Louisiana, Llc last refreshed?
The information related to the Pediatric Cardiology Of Southwest Louisiana, Llc, including its address, specialty, and other relevant details, was last updated on 2017-04-10.
NPI Number: 1356344279
Address: Mount St. Mary's Hospital Laboratory, Lewiston, NY