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GASTROENTEROLOGY CENTER OF LOUISIANA, INC.

Physicians Internal Medicine Gastroenterology

Provider NPI: 1891953717

Organization Information:
Organization Name:  GASTROENTEROLOGY CENTER OF LOUISIANA, INC.
Organization is not Subpart
Authorized Official:  IRFAN  ALAM  PHYSICIAN  615-574-8001

Practice Location:
4212 W CONGRESS ST SUITE 2400E LAFAYETTE, LA 70506-6765 US
Tel: 615-574-8001  Fax: 866-566-3203

Business Mailing Address:
4212 W CONGRESS ST SUITE 2400E LAFAYETTE, LA 70506-6765 US
Tel: 615-574-8001  Fax: 866-566-3203

NPI Information:
NPI: 1891953717
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207RG0100XPhysicians
Internal Medicine
Gastroenterology

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 207RG0100X

Type:

Classification:



Definition:



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