Healthcare Provider Details
I. General information
NPI: 1811800865
Provider Name (Legal Business Name): EMLA IHP INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
211 4TH ST
ALEXANDRIA LA
71301-8421
US
IV. Provider business mailing address
610 SENTRY PKWY STE 102
BLUE BELL PA
19422-2314
US
V. Phone/Fax
- Phone: 318-769-3000
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207P00000X |
| Taxonomy | Emergency Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
HEMANTH
NEELI
Title or Position: CO-CEO
Credential:
Phone: 484-965-9566