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NPI Code Detail

MEDICARE: DR. TULSI NILA BICE M.D.

MEDICARE: DR. TULSI NILA BICE M.D.
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
1208100000XPhysical Medicine & Rehabilitation Physician25802LA
22081P2900XPain Medicine (Physical Medicine & Rehabilitation) Physician025802LA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1356370589
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TULSI NILA BICE M.D.
Provider Business Mailing Address
First Line : PO BOX 82480
Second Line :
City : BATON ROUGE
State : LA
Zip : 70884-2480
Country : US
Telephone Number : 225-368-2300
Fax Number : 225-368-2280
Provider Business Practice Location Address
First Line : 9118 BLUEBONNET CENTRE BLVD
Second Line :
City : BATON ROUGE
State : LA
Zip : 70809-2993
Country : US
Telephone Number : 225-368-2300
Fax Number : 225-368-2280
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2006
Last Update Date : 12/10/2014

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