# GULF COAST MEDICAL MANAGEMENT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Gulf Coast Community Health Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1225200298
- **Authorized official:** DR. NAVEED SURAIYA MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (504) 708-2726

## Contact information

- **Practice address:** 1200 AVENUE G, SUITE\# 201, MARRERO, LA 70072-3765
- **Practice address phone:** (504) 708-2726
- **Practice address fax:** (504) 324-2229
- **Mailing address:** 1200 AVENUE G, SUITE\# 201, MARRERO, LA 70072-3765
- **Mailing address phone:** (504) 708-2726
- **Mailing address fax:** (504) 324-2229

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/30/2008
- **Last updated:** 03/30/2008