Organization
BAYOU RADIOLOGY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHARM EL' BURAS MD (OWNER/RADIOLOGY)
(985) 632-8355
Entity
Organization
Contact information
Practice address
200 W 134TH PL, CUT OFF, LA 70345-4143
(985) 632-8355
Mailing address
200 W 134TH PL, CUT OFF, LA 70345-4143
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
026120
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09823071
—
MS
05
—
1136921
—
LA
Enumeration date
05/02/2006
Last updated
02/13/2008
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