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PEDIATRIC CARDIOLOGY OF SOUTHWEST LOUISIANA LLC NPI 1962559740


NPI Information

NPI: 1962559740
Provider Name: PEDIATRIC CARDIOLOGY OF SOUTHWEST LOUISIANA, LLC
Classification: Pediatrics - 2080P0202X
Entity Type: Organization

Specialization: Pediatric Cardiology

CLIA Number: 19D1102217

Address:
2005 SOUTHWOOD DR
LAKE CHARLES, LA
ZIP 70605
Phone: (337) 562-2293
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PEDIATRIC CARDIOLOGY OF SOUTHWEST LOUISIANA, LLC is a pediatric cardiology pediatrics in Lake Charles, LA. The provider is 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 clinical evaluation of cardiovascular disease. PEDIATRIC CARDIOLOGY OF SOUTHWEST LOUISIANA, LLC NPI is 1962559740. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2005 SOUTHWOOD DR
LAKE CHARLES, LA
ZIP 70605-139
Phone: (337) 562-2293
Fax: (337) 562-1469

The provider's authorized official is Mudar M Kattash .
The authorized official title is Owner and has the following contact phone number (337) 562-2293.

The CLIA number assigned to this NPI record is 19D1102217 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 1/4/2007 and was last updated on 4/10/2017.


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
12080P0202XPediatricsPediatric CardiologyMD.12869RLOUISIANANo
22080P0202XPediatricsPediatric CardiologyMD.203075LOUISIANAYes

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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