MEDICARE: DR. PERRI PRELLOP 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
1	2085R0001X	Radiation Oncology Physician	200736	LA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4K170DX68	OTHER	LA	PERRI PRELLOP MEDICARE PTAN EFFECTIVE 05/19/2012
2	5DX68	OTHER	LA	ONCOLOGICS LLC GROUP MEDICARE PTAN EFFECTIVE 05/19/2012
4	329548ZLAC	OTHER	LA	MEDICARE GROUP MEMBER PTAN FOR ACADIANA RADIATION THERAPY, LLC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	200736	OTHER	LA	LOUISIANA MEDICAL LICENSE

General Provider Information

NPI Number	:	1508808981
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PERRI PRELLOP M.D.

Provider Business Mailing Address
First Line	:	4809 AMBASSADOR CAFFERY PKWY
Second Line	:	SUITE 100
City	:	LAFAYETTE
State	:	LA
Zip	:	70508-8800
Country	:	US
Telephone Number	:	337-769-8660
Fax Number	:	337-769-8661

Provider Business Practice Location Address
First Line	:	4809 AMBASSADOR CAFFERY PKWY
Second Line	:	SUITE 100
City	:	LAFAYETTE
State	:	LA
Zip	:	70508-8800
Country	:	US
Telephone Number	:	337-769-8660
Fax Number	:	337-769-8661

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/12/2006
Last Update Date	:	02/23/2016

Similar Medicare Providers

1184695223 — MARY FELICIA CASE PA-C
Practice Location Address:

4809 AMBASSADOR CAFFERY PKWY STE 110
LAFAYETTE, LA
70508-8800

Practice Phone: 337-235-7898
Practice Fax: 337-235-7445

1467423509 — ERIC J BULLER PA-C
Practice Location Address:

4809 AMBASSADOR CAFFERY PKWY STE 230
LAFAYETTE, LA
70508-8800

Practice Phone: 337-470-2739
Practice Fax: 337-470-6495

1649241746 — DR. DAVID A RINALDI M.D.
Practice Location Address:

4809 AMBASSADOR CAFFERY PKWY , SUITE 110
LAFAYETTE, LA
70508-8800

Practice Phone: 337-235-7898
Practice Fax: 337-235-7445

1184695009 — DR. KAREN B RODEN M.D.
Practice Location Address:

4809 AMBASSADOR CAFFERY PKWY , SUITE 110
LAFAYETTE, LA
70508-8800

Practice Phone: 337-235-7898
Practice Fax: 337-235-8707

1316918394 — DR. JOSEPH E BRIERRE M.D.
Practice Location Address:

4809 AMBASSADOR CAFFERY PKWY , SUITE 110
LAFAYETTE, LA
70508-8800

Practice Phone: 337-235-7898
Practice Fax: 337-235-7445

1083683601 — GREGORY DUPLECHAIN M.D.
Practice Location Address:

4809 AMBASSADOR CAFFERY PKWY , SUITE 260
LAFAYETTE, LA
70508-8800

Practice Phone: 337-456-1106
Practice Fax: 337-456-1108

Directions to “ DR. PERRI PRELLOP M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.