National Provider Identifier Database

SOUTHERN FERTILITY CENTER
Reproductive Endocrinology

An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility.


Contact Information

SOUTHERN FERTILITY CENTER
1057 PAUL MAILLARD RD
LULING, LA70070-4349
Phone: 985-785-4211
Fax:
Website:
Specialty Taxonomy Code
* Reproductive Endocrinology 207VE0102X

* Indicates primary specialty

NPI Profile & details for SOUTHERN FERTILITY CENTER

NPI Number 1962678144
Legal business name
LBN
SOUTHERN FERTILITY CENTER
Authorized official SHAILAJA RAJ - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 05/07/2008
Last updated 05/07/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • LA License #: MD06325R
  • LA Medicaid: 1338362

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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