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NPI Code Detail

MEDICARE: CHALMETTE DIALYSIS CENTER

MEDICARE: CHALMETTE DIALYSIS CENTER
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
1261QE0700XEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center059LA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
134497OTHERLABLUE CROSS BLUE SHIELD LA
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1992733547
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHALMETTE DIALYSIS CENTER
Provider Business Mailing Address
First Line : 4424 CONLIN ST
Second Line : SUITE 2A
City : METAIRIE
State : LA
Zip : 70006-2147
Country : US
Telephone Number : 594-780-1422
Fax Number : 504-780-1432
Provider Business Practice Location Address
First Line : 4020 PARIS RD
Second Line :
City : CHALMETTE
State : LA
Zip : 70043-1362
Country : US
Telephone Number : 504-780-1422
Fax Number : 504-780-1432
Authorized Official
Title or Position : CEO
Name : MR. MURAT HATIPOGLU
Credential :
Telephone Number : 504-780-1422
Provider Enumeration Date : 06/30/2006
Last Update Date : 08/22/2020

Similar Medicare Providers

1396748828 — DR. ARZU NAZLI HATIPOGLU M.D.
Practice Location Address:
4020 PARIS RD
CHALMETTE, LA
70043-1362
Practice Phone: 504-277-8423
Practice Fax: 504-888-8730
1699778118 — DR. MUSTAFA HATIPOGLU M.D.
Practice Location Address:
4020 PARIS RD
CHALMETTE, LA
70043-1362
Practice Phone: 504-277-8423
Practice Fax: 504-888-8730
1407859929 — DR. ABDOLAMIR LEHIMGAR ZADEH M.D.
Practice Location Address:
4020 PARIS RD
CHALMETTE, LA
70043-1362
Practice Phone: 504-277-8423
Practice Fax: 504-888-8730
1558918714 — MS. TAMIKA MARIA DAVIS MA, LPC, NCC, CCTP
Practice Location Address:
2111 OCTAVIA DR
CHALMETTE, LA
70043-5322
Practice Phone: 504-908-5607
Practice Fax:
1073874665 — MS. KIMA L RICHARD M.A., NCC
Practice Location Address:
2626 CHARLES DR
CHALMETTE, LA
70043-3779
Practice Phone: 504-278-4006
Practice Fax:
1750651618 — JILL P DEBOUCHEL FNP
Practice Location Address:
2611 JACKSON BLVD
CHALMETTE, LA
70043-2959
Practice Phone: 504-934-8461
Practice Fax: 504-371-3811

Directions to “CHALMETTE DIALYSIS CENTER ” Practice Location

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