Organization
BETHESDA MEDICAL CLINIC INFUSION CENTER LLC
Active
Organization
BETHESDA MEDICAL CLINIC INFUSION CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHIBU VARUGHESE MD (OWNER/MEDICAL DIRECTOR)
(504) 265-8304
Entity
Organization
Contact information
Practice address
1151 BARATARIA BLVD STE 3400, MARRERO, LA 70072-3083
(504) 265-8304
(504) 309-4193
Mailing address
1151 BARATARIA BLVD STE 3400B, MARRERO, LA 70072-3044
(504) 265-8304
(504) 309-4193
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
MD203694
LA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
MD203694
LA
207RH0003X
Hematology & Oncology Physician
MD203694
LA
261QI0500X
Infusion Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
04/15/2014
Last updated
11/04/2025
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