Louisiana Heart Clinic,Inc

Organization Active NPI Cardiovascular Disease Physician · Opelousas, LA

NPI 1154574267 · NPPES record last updated Jun 1, 2009

Key facts

NPI
1154574267
Entity type
Organization (NPI type 2)
Primary specialty
Cardiovascular Disease Physician 207RC0000X
License
12747R (LA)
Legal business name
LOUISIANA HEART CLINIC,INC
Practice address
611 E Prudhomme St
Suite 3
Opelousas, LA 70570-6458
Phone
(337) 942-5750
Fax
(337) 948-9405
NPI assigned
Nov 3, 2008
Organization subpart
No

Authorized official

Name
Dr. Usman Alam, M.D.,F.A.C.C. NPI 1174568208
Title
Physician
Phone
(337) 942-5750

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 7

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in LA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20090601000095 LA Part B Supplier - Clinic/Group Practice 3173672797 Receives reassigned benefits from 1 practitioner
Practice locations: Lafayette, LA; Opelousas, LA

National Provider Directory

Locations

4141 N University Ave
Carencro, LA 70520
Phone (337) 565-2692

401 Youngsville Hwy
Lafayette, LA 70508
Phone (337) 330-0031

611 E Prudhomme St
Ste 3
Opelousas, LA 70570
Phone (337) 942-5750

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207RC0000X 12747R LA Yes

Addresses

Primary practice location

611 E Prudhomme St
Suite 3
Opelousas, LA 70570-6458

Mailing address

PO Box 52844
Lafayette, LA 70505-2844
Phone (337) 942-5750

Other names

  • LOUISIANA HEART CLINIC,INC Doing business as

Other providers in Opelousas, LA

All providers in Opelousas, LA · Cardiovascular Disease Physician in Louisiana

Sources for this page

Verify at the official NPI Registry.