Manuel, Powlin Viswas
Manuel, Powlin Viswas is an individual health care provider with primary practice located at 104 Genevieve Dr , Lafayette LA 70503-4811. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Allergy & Immunology. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Manuel, Powlin Viswas can be contacted via phone (337) 984-0110.Contact Information
Primary practice address
104 Genevieve Dr
Lafayette LA 70503-4811
Phone: (337) 984-0110
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 03959R | Louisiana |
| Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | 03959R | Louisiana |
Profile Details
| NPI number | 1346251865 |
|---|---|
| LBN Legal business name | Manuel, Powlin Viswas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 10th, 2006 |
| Last updated | Mar 16th, 2016 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346251865 | NPPES |
| Louisiana | MEDICAID | 1171689 |
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