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Organization

LOUISIANA KIDNEY CLINIC, LLC

Active
Other names
Imran Muhammad Shuja
Organization subpart
No

Provider details

NPI number
Authorized official
DR. IMRAN MUHAMMAD SHUJA MD (PHYSICIAN/ SOLE OWNER)
(504) 621-7001
Entity
Organization

Contact information

Practice address
675 N CAUSEWAY BLVD, MANDEVILLE, LA 70448-4600
(504) 621-7001
Mailing address
675 N CAUSEWAY BLVD, MANDEVILLE, LA 70448-4600
(504) 621-7001

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary

Other

Enumeration date
10/04/2024
Last updated
11/07/2024
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