# WOMEN'S MEDICAL & SURGICAL CLINIC, INC.

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

## Provider details

- **NPI number:** 1447483110
- **Authorized official:** DR. UPENDRA M KULKARNI M.D. (PRESIDENT)
- **Authorized official phone:** (337) 468-2250

## Contact information

- **Practice address:** 805 CHERRY ST, MAMOU, LA 70554-2223
- **Practice address phone:** (337) 468-2250
- **Practice address fax:** (337) 468-2702
- **Mailing address:** 805 CHERRY ST, 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:** 08/28/2009
- **Last updated:** 04/02/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1811866 | COMMUNITY HEALTH SOLUTIONS CCN | LA |
| 05 | — | 1811866 | — | LA |
| 01 | — | 1900461332 | CLIA | LA |
| 01 | — | 4507365 | EMC | LA |
| 01 | — | 5DL47 | MEDICARE PTAN | LA |
| 01 | — | P10000361561 | LA HEALTHCARE CONNECTIONS CCN | LA |