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Organization

IKEMD, A PROFESSIONAL MEDICAL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PAUL A.R. IKEMIRE M.D. (MEDICAL DIRECTOR)
(504) 717-3050
Entity
Organization

Contact information

Practice address
2547 PALMYRA ST, SUITE 101, NEW ORLEANS, LA 70119-6427
(504) 754-2388
(504) 754-7669
Mailing address
2547 PALMYRA ST, SUITE 101, NEW ORLEANS, LA 70119-6427
(504) 754-2388
(504) 754-7669

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
MD.205087
LA
261QC1500X
Community Health Clinic/Center
Primary
MD.205087
LA
261QP2300X
Primary Care Clinic/Center
MD.205087
LA

Other

Enumeration date
04/20/2012
Last updated
04/20/2012
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