Organization Name: | BAYOU RADIOLOGY, INC |
NPI Number: | 1538127451 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SHARM EL' BURAS (OWNER/RADIOLOGY) |
Mailing Address: | 200 W 134th Pl Cut Off |
State: | LA US |
Postal Code: | 703454143 |
Phone Number: | 9856328355 |
Fax Number: | |
NPI Enumeration Date: | 05/02/2006 |
NPI Last Update Date: | 02/13/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | 026120 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |