MEDICARE: CALCASIEU PRIMARY CARE LLC

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	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1861887531
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CALCASIEU PRIMARY CARE LLC

Provider Business Mailing Address
First Line	:	3649 S BEGLIS PKWY
Second Line	:
City	:	SULPHUR
State	:	LA
Zip	:	70665-8107
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3649 S BEGLIS PKWY
Second Line	:
City	:	SULPHUR
State	:	LA
Zip	:	70665-8107
Country	:	US
Telephone Number	:	337-446-2928
Fax Number	:

Authorized Official
Title or Position	:	MEMBER
Name	:	NITIN MALLA
Credential	:
Telephone Number	:	337-446-2928

Provider Enumeration Date	:	03/31/2015
Last Update Date	:	03/31/2015

Similar Medicare Providers

1811269673 — MRS. SHERRY SITTIG APRN
Practice Location Address:

3645 S BEGLIS PKWY
SULPHUR, LA
70665-8107

Practice Phone: 337-476-3149
Practice Fax:

1457790255 — SULPHUR HEALTHCARE PARTNERS
Practice Location Address:

3649 S BEGLIS PKWY
SULPHUR, LA
70665-8107

Practice Phone: 865-531-0176
Practice Fax:

1538563069 — BYRDWORTH MEDICAL LLC
Practice Location Address:

3645 S BEGLIS PKWY , SUITE C
SULPHUR, LA
70665-8107

Practice Phone: 337-446-2928
Practice Fax:

1033502497 — LAKEN DESONIER KELLY N.P.
Practice Location Address:

3649 S BEGLIS PKWY , 3645 S. BEGLIS PKWY
SULPHUR, LA
70665-8107

Practice Phone: 337-476-3149
Practice Fax:

1073167094 — CARLY HILLEBRANDT FNP
Practice Location Address:

3649 S BEGLIS PKWY
SULPHUR, LA
70665-8107

Practice Phone: 337-626-1011
Practice Fax: 337-558-5585

1174612998 — DR. CHARLES JAMES ARDOIN II DDS
Practice Location Address:

4985 HIGHWAY 27 S
SULPHUR, LA
70665-7571

Practice Phone: 337-583-2756
Practice Fax: 337-583-9031

Directions to “CALCASIEU PRIMARY CARE LLC ” 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.