Organization
VIPUL SHELAT APMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIPUL SHELAT MBBS (OWNER)
(318) 324-1901
Entity
Organization
Contact information
Practice address
312 GRAMMONT ST, #400B, MONROE, LA 71201-7457
(318) 324-1901
Mailing address
312 GRAMMONT ST, #400B, MONROE, LA 71201-7457
(318) 324-1901
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
13324R
LA
261QP3300X
Pain Clinic/Center
13324R
LA
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
13324R
LA
Other
Enumeration date
01/16/2010
Last updated
01/16/2010
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