Organization Name: | CHAFTARI MEDICAL INC |
NPI Number: | 1063538478 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PATRICK SAMIR CHAFTARI (TREASURER CO-OWNER) |
Mailing Address: | 119 Hospital Dr Oakdale |
State: | LA US |
Postal Code: | 714633034 |
Phone Number: | 3182150020 |
Fax Number: | |
NPI Enumeration Date: | 03/21/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | 13244R |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |