MEDICARE: RHEUMATOLOGY ASSOCIATES, L.L.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RR0500X	Rheumatology Physician

General Provider Information

NPI Number	:	1275974040
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RHEUMATOLOGY ASSOCIATES, L.L.C.

Provider Business Mailing Address
First Line	:	5225 ODONOVAN DR
Second Line	:	STE 102
City	:	BATON ROUGE
State	:	LA
Zip	:	70808-7202
Country	:	US
Telephone Number	:	225-636-5836
Fax Number	:	225-615-8853

Provider Business Practice Location Address
First Line	:	5225 ODONOVAN DR
Second Line	:	STE 102
City	:	BATON ROUGE
State	:	LA
Zip	:	70808-7202
Country	:	US
Telephone Number	:	225-636-5836
Fax Number	:	225-615-8853

Authorized Official
Title or Position	:	OWNER
Name	:	DR. JOSEPH NESHEIWAT
Credential	:	M.D.
Telephone Number	:	225-636-5836

Provider Enumeration Date	:	07/09/2013
Last Update Date	:	07/08/2014

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