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Individual

DR. PERMANAND S. J. BEEHARILAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4242 HIGHWAY 19 STE A, ZACHARY, LA 70791
(225) 286-4360
(225) 286-4363
Mailing address
4242 HIGHWAY 19 STE A, ZACHARY, LA 70791-3982
(225) 286-4360
(225) 286-4363

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD203580
LA
261Q00000X
Clinic/Center
MD203580
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
106817
MEDICARE
LA
05
1822621
LA
01
MD203580
STATE LICENSE
LA
Enumeration date
08/16/2007
Last updated
03/07/2023
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