Organization
BETHESDA MEDICAL CLINIC INFUSION CENTER LLC
Active
Other names
Bethesda Medical Clinic Infusion Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHIBU VARUGHESE MD (MEMBER)
(504) 265-8304
Entity
Organization
Contact information
Practice address
1620 BELLE CHASSE HWY STE 102, TERRYTOWN, LA 70056-7057
(504) 265-8301
(504) 309-4193
Mailing address
1620 BELLE CHASSE HWY STE 102, TERRYTOWN, LA 70056-7057
(504) 265-8301
(504) 309-4193
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
—
—
261QI0500X
Infusion Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
06/16/2020
Last updated
08/05/2020
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