Mendoza, Douglas K
Mendoza, Douglas K is an individual health care provider with primary practice located at 9001 Summa Ave , Baton Rouge LA 70809-3726. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Mendoza, Douglas K can be contacted via phone (225) 761-5200.Contact Information
Primary practice address
9001 Summa Ave
Baton Rouge LA 70809-3726
Phone: (225) 761-5200
Fax: (225) 761-5538
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 021620 | Louisiana |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | MD021620 | Louisiana |
Profile Details
| NPI number | 1700888997 |
|---|---|
| LBN Legal business name | Mendoza, Douglas K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2005 |
| Last updated | Mar 5th, 2015 - about 9 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 | 1700888997 | NPPES |
| Louisiana | MEDICAID | 1660400 | |
| Louisiana | MEDICAID | 00124748 | |
| Louisiana | MEDICAID | 00588343 |
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