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SERGE P MARINKOVIC MD FEMALE RECONSTRUCTIVE SURGERY LLC NPI 1871782581


NPI Information

NPI: 1871782581
Provider Name: SERGE P MARINKOVIC MD FEMALE RECONSTRUCTIVE SURGERY LLC

Doing Business As: SPM FEMALE RECONSTRUCTIVE SURGERY

Classification: Urology - 208800000X
Entity Type: Organization
Address:
4540 AMBASSADOR CAFFERY PKWY
SUITE A220
LAFAYETTE, LA
ZIP 70508
Phone: (337) 504-2671
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SERGE P MARINKOVIC MD FEMALE RECONSTRUCTIVE SURGERY LLC is an urology in Lafayette, LA. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. SERGE P MARINKOVIC MD FEMALE RECONSTRUCTIVE SURGERY LLC NPI is 1871782581. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Spm Female Reconstructive Surgery.

The provider's business location address is:

4540 AMBASSADOR CAFFERY PKWY
SUITE A220
LAFAYETTE, LA
ZIP 70508-928
Phone: (337) 504-2671
Fax: (337) 504-2673

The provider's authorized official is Serge P Marinkovic .
The authorized official title is President and has the following contact phone number (337) 504-2671.

The enumeration date for this NPI number is 10/18/2007 and was last updated on 6/21/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208600000XSurgeryMD.200543LOUISIANANo
22086S0122XSurgeryPlastic and Reconstructive SurgeryMD.200543LOUISIANANo
3208800000XUrologyMD.200543LOUISIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1=========OTHERLOUISIANATAX ID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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