Individual
DR. EBENEZER S. BEDIAKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4600 AMBASSADOR CAFFERY PKWY, LAFAYETTE, LA 70508-6902
(337) 470-5500
(337) 521-9166
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(337) 470-2605
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
01063471A
IN
208000000X
Pediatrics Physician
Primary
202914
LA
2080P0203X
Pediatric Critical Care Medicine Physician
202914
LA
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
202914
LA
208M00000X
Hospitalist Physician
N1547
TX
Other
Enumeration date
04/23/2007
Last updated
12/22/2025
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