Organization
NAEEM & KUMAR LLC
Active
Other names
Pelican Physician Services
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANDREA ELIZABETH ALTAZAN (MANAGER)
(985) 645-9000
Entity
Organization
Contact information
Practice address
2375 GAUSE BLVD E, SLIDELL, LA 70461-4142
(985) 645-9000
(985) 645-0359
Mailing address
2375 GAUSE BLVD E, SLIDELL, LA 70461-4142
(985) 645-9000
(985) 645-0359
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
94083008
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1442119
—
LA
Enumeration date
02/28/2007
Last updated
08/22/2020
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