# VIPUL SHELAT APMC

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

## Provider details

- **NPI number:** 1710218698
- **Authorized official:** DR. VIPUL SHELAT MBBS (OWNER)
- **Authorized official phone:** (318) 324-1901

## Contact information

- **Practice address:** 312 GRAMMONT ST, \#400B, MONROE, LA 71201-7457
- **Practice address phone:** (318) 324-1901
- **Mailing address:** 312 GRAMMONT ST, \#400B, MONROE, LA 71201-7457
- **Mailing address phone:** (318) 324-1901

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 13324R | LA | Yes |
| 261QP3300X | Pain Clinic/Center | 13324R | LA | — |
| 261QS1200X | Sleep Disorder Diagnostic Clinic/Center | 13324R | LA | — |

## Other

- **Enumeration date:** 01/16/2010
- **Last updated:** 01/16/2010