Organization
FIRST CARE PHYSICIAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARAKSHAN G WAHID (MEDICAL DOCTOR)
(225) 381-2727
Entity
Organization
Contact information
Practice address
3401 NORTH BLVD, SUITE 130, BATON ROUGE, LA 70806-3743
(225) 381-2727
(225) 381-2753
Mailing address
PO BOX 261166, BATON ROUGE, LA 70826-1166
(337) 289-8970
(337) 289-8971
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
11841R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1681971
—
LA
Enumeration date
08/12/2005
Last updated
08/22/2020
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