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
Fax: (225) 761-5538
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700888997 NPPES
Louisiana MEDICAID 1660400
Louisiana MEDICAID 00124748
Louisiana MEDICAID 00588343

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