Healthcare Provider Details

I. General information

NPI: 1851025928
Provider Name (Legal Business Name): AP PLUS HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2022
Last Update Date: 07/13/2022
Certification Date: 07/13/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6003 MARTHAS DR
ALEXANDRIA LA
71303-6004
US

IV. Provider business mailing address

6003 MARTHAS DR
ALEXANDRIA LA
71303-6004
US

V. Phone/Fax

Practice location:
  • Phone: 980-613-0755
  • Fax:
Mailing address:
  • Phone: 980-613-0755
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number
License Number State

VIII. Authorized Official

Name: PADAM HIRACHAN
Title or Position: MD
Credential: MD
Phone: 980-613-0755