Organization
BAKER SURAJ, INC
Active
Parent organization
BAKER SURAJ, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
BAKER SURAJ, INC.
Authorized official
VINA S. BAKER (PHYSICIAN/MEDICAL DIRECTOR)
(337) 364-2822
Entity
Organization
Contact information
Practice address
602 N. LEWIS AVE., SUITE 100, NEW IBERIA, LA 70563
(337) 364-2822
(337) 364-1978
Mailing address
602 N. LEWIS AVE., SUITE 100, NEW IBERIA, LA 70563
(337) 364-2822
(337) 364-1978
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
023492
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1482030
—
LA
Enumeration date
11/23/2010
Last updated
11/23/2010
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