JALAL JOUDEH NPI 1548328115

NPI Information

  • NPI: 1548328115
  • Provider Name: JALAL JOUDEH
  • Classification: Internal Medicine - 207R00000X
  • Entity Type: Organization
  • Doing Business As: DEQUINCY MEDICAL CLINIC
  • CLIA Number: 19D0944746
  • Address: 601 W 4TH ST
    DEQUINCY, LA
    ZIP 70633
  • Phone: (337) 786-6161

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NPI Details

JALAL JOUDEH is an internal medicine in Dequincy, LA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. JALAL JOUDEH NPI is 1548328115. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Dequincy Medical Clinic.

The provider's business location address is:

601 W 4TH ST
DEQUINCY, LA
ZIP 70633-301
Phone: (337) 786-6161
Fax: (337) 786-7999

The provider's authorized official is Jalal Joudeh .
The authorized official title is Owner and has the following contact phone number (337) 786-6161.

The CLIA number assigned to this NPI record is 19D0944746 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/5/2006 and was last updated on 6/27/2008.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal Medicine1445347LOUISIANAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11445347MEDICAIDLOUISIANA
25CF25MEDICARE PINLOUISIANA

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: 11/21/2025

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