# PREMIUM UNITED CARE LLC

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

## Provider details

- **NPI number:** 1285067751
- **Authorized official:** DR. JOHN O NNADI MD (CEO)
- **Authorized official phone:** (214) 909-9071

## Contact information

- **Practice address:** 17000 MEDICAL CENTER DR, BATON ROUGE, LA 70816-3246
- **Practice address phone:** (214) 909-9071
- **Mailing address:** 2925 TRADITION AVE, BATON ROUGE, LA 70810-0336

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RI0200X | Infectious Disease Physician | 202997 | LA | Yes |

## Other

- **Enumeration date:** 08/19/2013
- **Last updated:** 03/28/2014