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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 10 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 1346251865 NPPES
Louisiana MEDICAID 1171689

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