Pelican Physician Services, Llc
LBN: Pelican Physician Services, Llc
Pelican Physician Services, Llc is an health care organization with primary practice located at 2375 Gause Blvd E , Slidell LA 70461-4142. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Emergency Medical Services is the primary health care specialty.
Pelican Physician Services, Llc can be contacted via phone (985) 645-9000, or through Amaraneni, Kumar Kishore via phone (985) 645-9000.
Contact Information
Primary practice address
2375 Gause Blvd E
Slidell LA 70461-4142
Phone: (985) 645-9000
Fax: (985) 645-0359
Website:
Authorized official contact:
Name: Amaraneni, Kumar Kishore Doctor of Medicine (MD)
Phone: (985) 645-9000
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | 06512R | Louisiana |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 019740 | Louisiana |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 025659 | Louisiana |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 025659 | Louisiana |
Profile Details
| NPI number | 1851609978 |
|---|---|
| LBN Legal business name | Pelican Physician Services, Llc |
| DBA Doing business as | |
| Authorized official | Amaraneni, Kumar Kishore Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 23rd, 2010 |
| Last updated | Jul 9th, 2014 - about 10 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851609978 | NPPES |
| Louisiana | MEDICAID | 1442119 |
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