Organization
MEENA A BAKARE MD APMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEENA A BAKARE MD (PRESIDENT)
(337) 468-2515
Entity
Organization
Contact information
Practice address
1008 6TH STREET, MAMOU, LA 70554-3124
(337) 468-2515
(337) 468-2517
Mailing address
1008 6TH STREET, MAMOU, LA 70554-3124
(337) 468-2515
(337) 468-2517
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD06105R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0185211570
BLUE CROSS
LA
05
—
1331384
—
LA
01
—
19D0461334
CLIA
LA
Enumeration date
11/10/2006
Last updated
12/06/2012
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