Organization
FACTOR- A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AHMAD ELAKIL MD, MBA (OWNER)
(337) 534-0248
Entity
Organization
Contact information
Practice address
1200 CAMELLIA BLVD STE 400, LAFAYETTE, LA 70508-6163
(337) 534-0248
(337) 806-9642
Mailing address
PO BOX 81734, LAFAYETTE, LA 70598-1734
(337) 534-0248
(337) 806-9642
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/13/2020
Last updated
05/13/2020
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