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Contact Information

CHILDRENS CLINIC LLC
3 STOREHOUSE LANE
SUITE B
DESTREHAN, LA70047
 Phone: 985-764-6556
 Fax: 985-764-6526
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for CHILDRENS CLINIC LLC

NPI # 1689739971
LBN Legal business name CHILDRENS CLINIC LLC
Authorized official MUHAMMAD SHUJA - (PART OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/27/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
LA Medicaid 1445924
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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