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East Bank Internal Medicine Llc
Preferred Provider Organization in Metairie, Louisiana
NPI 1962691428

East Bank Internal Medicine Llc is a Preferred Provider Organization based in Metairie, LA. East Bank Internal Medicine Llc practices in Metairie, LA. The NPI Number for East Bank Internal Medicine Llc is 1962691428 and holds a License No. 11919 (Louisiana).

The current practice location address for East Bank Internal Medicine Llc is 3800 Houma Blvd Ste 250, Metairie, LA and can be reached out via phone at 504-885-3272 and via fax at 504-456-6600.

Location: 3800 Houma Blvd Ste 250, Metairie, LA, 70006-5013
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1962691428
Provider Name
East Bank Internal Medicine Llc
Credential
Provider Entity Type
Organization
Address
3800 Houma Blvd Ste 250, Metairie, LA, 70006-5013
Phone Number
504-885-3272
Fax Number
504-456-6600
Provider Enumeration Date
10/22/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1496430 05 LA
institution
Provider Business Practice Location Address Details
Address
3800 Houma Blvd Ste 250
City
Metairie
State
Louisiana
Zip
70006-5013
Phone Number
504-885-3272
Fax Number
504-456-6600
person
Provider Business Mailing Address Details
Address
3800 Houma Blvd Ste 250
City
Metairie
State
Louisiana
Zip
70006-5013
Phone Number
504-885-3272
Fax Number
504-456-6600
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
11919 (Louisiana)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Managed Care Organizations
Classification
Preferred Provider Organization
Speciality
-
Taxonomy
305R00000X
License No.
11919 (Louisiana)
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
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