Organization
HEMATOLOGY ONCOLOGY ASSOCIATES OF BATON ROUGE
Active
Other names
Louisiana Hematology Oncology Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL NOWACKI (BUSINESS MANAGER)
(225) 215-1131
Entity
Organization
Contact information
Practice address
4950 ESSEN LN, BATON ROUGE, LA 70809-3432
(225) 767-1311
(225) 215-1658
Mailing address
4950 ESSEN LN, BATON ROUGE, LA 70809-3482
(225) 767-1311
(225) 767-1335
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
LA
2085N0904X
Nuclear Radiology Physician
—
LA
2085R0202X
Diagnostic Radiology Physician
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09014497
MISSISSIPPI MEDICAID
MS
05
—
1440850
—
LA
01
—
1861590234
NPI
LA
01
—
72146800
BLUE CROSS BLUE SHIELD
LA
01
—
CH2372
MEDICARE RAILROAD
LA
Enumeration date
09/20/2006
Last updated
11/24/2009
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