Organization
ACADIANA ID ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VITALIS OKECHUKWU M.D., (OWNER)
(337) 534-4131
Entity
Organization
Contact information
Practice address
1700 KALISTE SALOOM RD BLDG 6, SUITE 600, LAFAYETTE, LA 70508-6112
(337) 534-4131
(337) 385-5859
Mailing address
PO BOX 81247, LAFAYETTE, LA 70598-1247
(337) 534-4131
(337) 385-5859
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
15601R
LA
Other
Enumeration date
04/30/2014
Last updated
02/17/2021
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