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NPI Lookup from the NPI Registry — National Provider Identifier Database

FREDDIE J FANDAL JR, MD – NPI #1538128285
Family Medicine

FREDDIE FANDAL graduated 1997 from LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT. Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.


Contact Information

FREDDIE J FANDAL JR, MD
17695 HWY 190
PORT BARRE, LA70577
 Medical school:
LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated 1997

 Phone: 337-585-7898
 Fax: 337-585-7899
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty
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NPI Profile & details for FREDDIE J FANDAL JR · (Male)

NPI Number 1538128285
Credentials MD
Entity Individual
Enumeration date 03/21/2006
Last updated 12/08/2010 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
LA License # 024781
LA Medicaid 1430692
LA Medicare PIN 1538128285
Medicare UPIN H20519
LA Other 080164292 RR MEDICARE
Hospital affiliation(s)
  • OPELOUSAS GENERAL HEALTH SYSTEM - (Acute Care)
    539 EAST PRUDHOMME STREET
    OPELOUSAS, LA 70570
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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