# WOMEN'S CLINIC OF OAKDALE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023340254
- **Authorized official:** MEDHA M KULKARNI (ADMINISTRATOR)
- **Authorized official phone:** (337) 468-2250

## Contact information

- **Practice address:** 119 HOSPITAL DR, OAKDALE, LA 71463-3034
- **Practice address phone:** (318) 335-0260
- **Practice address fax:** (318) 335-3356
- **Mailing address:** 805 CHERRY ST, SUITE A, MAMOU, LA 70554-2223
- **Mailing address phone:** (337) 468-2250
- **Mailing address fax:** (337) 468-2702

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 05120R | LA | Yes |

## Other

- **Enumeration date:** 02/15/2010
- **Last updated:** 01/20/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 19-3898 | MEDICAE PART A | — |
| 01 | — | 2121014 | COMMUNITY HEALTH SOLUTIONS CCN | LA |
| 05 | — | 2121014 | — | LA |
| 01 | — | 53433DM43 | GROUP MEMBER PTAN | LA |
| 01 | — | 5DM43 | MEDICARE PTAN | LA |
