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CENLA LASER CLINIC NPI 1619130002


NPI Information

NPI: 1619130002
Provider Name: CENLA LASER CLINIC
Classification: Surgery - 208600000X
Entity Type: Organization
Address:
3311 PRESCOTT ROAD
312 CABRINI DOCTORS BUILDING
ALEXANDRIA, LA
ZIP 71301
Phone: (318) 445-8181
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CENLA LASER CLINIC is a surgery in Alexandria, LA. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. CENLA LASER CLINIC NPI is 1619130002. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3311 PRESCOTT ROAD
312 CABRINI DOCTORS BUILDING
ALEXANDRIA, LA
ZIP 71301
Phone: (318) 445-8181
Fax: (318) 445-6575

The provider's authorized official is Jyoti Bas Ganji .
The authorized official title is Owner and has the following contact phone number (318) 445-8181.

The enumeration date for this NPI number is 7/7/2008 and was last updated on 7/7/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208600000XSurgeryYes

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
1D05357MEDICARE UPINLOUISIANA
21979627MEDICAIDLOUISIANA
35U054MEDICARE PINLOUISIANA
4377820091OTHERLOUISIANABCBS

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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