# INTEGRATIVE MEDICINE OF ACADIANA LLC

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

## Provider details

- **NPI number:** 1891156279
- **Authorized official:** ANJUM ASAD M.D., (OWNER/PHYSICIAN)
- **Authorized official phone:** (800) 923-8835

## Contact information

- **Practice address:** 1516 CHEMIN METAIRIE RD, SUITE A, YOUNGSVILLE, LA 70592-2000
- **Practice address phone:** (337) 857-5910
- **Practice address fax:** (337) 857-5913
- **Mailing address:** PO BOX 80537, LAFAYETTE, LA 70598-0537
- **Mailing address phone:** (800) 923-8835
- **Mailing address fax:** (337) 593-8330

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 206557 | LA | Yes |

## Other

- **Enumeration date:** 03/14/2016
- **Last updated:** 05/17/2016