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LAFAYETTE HEART CLINIC LLC NPI 1023225356


NPI Information

NPI: 1023225356
Provider Name: LAFAYETTE HEART CLINIC, LLC
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
5000 AMBASSADOR CAFFERY PKWY
PROVINCE BUILDING 1
LAFAYETTE, LA
ZIP 70508
Phone: (337) 261-0928
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LAFAYETTE HEART CLINIC, LLC is a cardiovascular disease internal medicine in Lafayette, LA. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. LAFAYETTE HEART CLINIC, LLC NPI is 1023225356. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

5000 AMBASSADOR CAFFERY PKWY
PROVINCE BUILDING 1
LAFAYETTE, LA
ZIP 70508
Phone: (337) 261-0928
Fax: (337) 233-7773

The provider's authorized official is Christopher T Mallavarapa .
The authorized official title is Md/owner and has the following contact phone number (337) 261-0928.

The enumeration date for this NPI number is 5/17/2007 and was last updated on 9/12/2013.


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
1207UN0901XNuclear MedicineNuclear CardiologyNo
2207RC0000XInternal MedicineCardiovascular DiseaseYes

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
15DB73MEDICARE PINLOUISIANA
21448460MEDICAIDLOUISIANA

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.