Organization
NEW AGE MEDICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEEPESH RUBIN PATEL M.D. (FOUNDER/MANAGING MEMBER)
(225) 224-8690
Entity
Organization
Contact information
Practice address
15550 HIGHLAND RD, BATON ROUGE, LA 70810-6504
(225) 224-8690
(225) 615-7704
Mailing address
15550 HIGHLAND RD, BATON ROUGE, LA 70810-6504
(225) 224-8690
(225) 615-7704
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
43352006K
STATE CHARTER NUMBER
LA
Enumeration date
04/13/2021
Last updated
04/13/2021
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