Organization
LOUISIANA ONCOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANJAY AYIROOKUZHI JOSEPH (OWNER)
(318) 322-4673
Entity
Organization
Contact information
Practice address
3116 KILPATRICK BLVD, MONROE, LA 71201-5156
(318) 322-4673
Mailing address
3116 KILPATRICK BLVD, MONROE, LA 71201-5156
(318) 322-4673
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
MD201565
LA
Other
Enumeration date
08/04/2012
Last updated
01/26/2020
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