Jefferson Radiation Oncology, Llc

LBN: Jefferson Radiation Oncology, Llc
Jefferson Radiation Oncology, Llc is an health care organization with primary practice located at 4204 Houma Blvd , Metairie LA 70006-2903. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as the primary health care specialty. Jefferson Radiation Oncology, Llc can be contacted via phone (504) 454-1724, or through Monsour, Paul David via phone (504) 454-1727.

Contact Information

Primary practice address
4204 Houma Blvd Metairie LA 70006-2903
Phone: (504) 454-1724
Fax: (504) 455-4857
Website:
Map and Directions
Authorized official contact:
Name: Monsour, Paul David Doctor of Medicine (MD)
Phone: (504) 454-1727

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X

Profile Details

NPI number 1619927910
LBN Legal business name Jefferson Radiation Oncology, Llc
DBA Doing business as
Authorized official Monsour, Paul David Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 10th, 2006
Last updated Aug 22nd, 2020 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619927910 NPPES
Louisiana MEDICAID 1448133

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