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:
Map and Directions
Authorized official contact:
Name: Amaraneni, Kumar Kishore Doctor of Medicine (MD)
Phone: (985) 645-9000

Health care specialties

SpecialtyCodeLicense #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 12 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 1851609978 NPPES
Louisiana MEDICAID 1442119

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