Healthcare Provider Details

I. General information

NPI: 1073861357
Provider Name (Legal Business Name): INFECTIOUS DISEASES CONSULTANTS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2012
Last Update Date: 07/17/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3401 NORTH BLVD SUITE 335
BATON ROUGE LA
70806-3743
US

IV. Provider business mailing address

PO BOX 65163
BATON ROUGE LA
70896-5163
US

V. Phone/Fax

Practice location:
  • Phone: 225-381-2782
  • Fax: 225-381-2780
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. PATRICK NJOKU
Title or Position: OWNER
Credential: M.D.
Phone: 225-381-2782