Alexandria Pediatric Gastro, Inc

Organization Active NPI Pediatric Gastroenterology Physician · Alexandria, LA

NPI 1073386520 · NPPES record last updated Nov 6, 2023

Key facts

NPI
1073386520
Entity type
Organization (NPI type 2)
Primary specialty
Pediatric Gastroenterology Physician 2080P0206X
Legal business name
ALEXANDRIA PEDIATRIC GASTRO, INC
Practice address
3311 Prescott Rd Ste 210
Alexandria, LA 71301-3983
Phone
(318) 256-5722
Fax
(318) 256-5774
NPI assigned
Nov 6, 2023
Organization subpart
No

Authorized official

Name
Husam Sukerek, MD
Title
Owner
Phone
(318) 256-5722

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

3311 Prescott Rd
Ste 210
Alexandria, LA 71301
Phone (318) 487-1477

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Gastroenterology Physician
Group: 193400000X SINGLE SPECIALTY GROUP
2080P0206X Yes

Addresses

Primary practice location

3311 Prescott Rd Ste 210
Alexandria, LA 71301-3983

Mailing address

3311 Prescott Rd Ste 210
Alexandria, LA 71301-3983
Phone (318) 256-5722

Other providers in Alexandria, LA

All providers in Alexandria, LA · Pediatric Gastroenterology Physician in Louisiana

Sources for this page

Verify at the official NPI Registry.