# HEALTH CLINIC OF MOSS BLUFF, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CHADHA MEDICAL CLINIC - MB
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679904387
- **Authorized official:** JAGJIT S CHADHA MD (CEO/OWNER)
- **Authorized official phone:** (337) 786-5007

## Contact information

- **Practice address:** 237 SAM HOUSTON JONES PKWY, MOSS BLUFF, LA 70611-5603
- **Practice address phone:** (337) 786-5007
- **Practice address fax:** (337) 786-5009
- **Mailing address:** 140 W 4TH ST, DEQUINCY, LA 70633-3508
- **Mailing address phone:** (337) 786-5007
- **Mailing address fax:** (337) 786-5009

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 13084R | LA | — |
| 207R00000X | Internal Medicine Physician | 13083R | LA | Yes |

## Other

- **Enumeration date:** 12/05/2013
- **Last updated:** 02/03/2014