Organization
PREMIUM UNITED CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN O NNADI MD (CEO)
(214) 909-9071
Entity
Organization
Contact information
Practice address
17000 MEDICAL CENTER DR, BATON ROUGE, LA 70816-3246
(214) 909-9071
Mailing address
2925 TRADITION AVE, BATON ROUGE, LA 70810-0336
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
202997
LA
Other
Enumeration date
08/19/2013
Last updated
03/28/2014
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