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Organization
BAKER SURAJ, INC
Active
Organization
BAKER SURAJ, INC
Active
Parent organization
BAKER SURAJ, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
BAKER SURAJ, INC.
Authorized official
VINA S. BAKER (PHYSICIAN/MEDICAL DIRECTOR)
(337) 364-2822
Entity
Organization
Contact information
Practice address
602 N. LEWIS AVE., SUITE 100, NEW IBERIA, LA 70563
(337) 364-2822
(337) 364-1978
Mailing address
602 N. LEWIS AVE., SUITE 100, NEW IBERIA, LA 70563
(337) 364-2822
(337) 364-1978
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
023492
LA
Other
Enumeration date
11/23/2010
Last updated
11/23/2010
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