Neil Clinic Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

10341R Issued in LA

Legal business name

NEIL CLINIC INC.

Practice address

760 Bayou Pines East Dr
Lake Charles, LA 70601-7184

Phone

(337) 433-0313

Fax

(337) 433-0554

NPI assigned

Apr 25, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Anand K Roy, M.D.

Title

Director

Phone

(337) 433-0313

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487873758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 BAYOU PINES EAST DR",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706017184",
            "telephone_number": "337-433-0313",
            "fax_number": "337-433-0554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 BAYOU PINES EAST DR",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706017184",
            "telephone_number": "337-433-0313",
            "fax_number": "337-433-0554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIL CLINIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROY",
        "authorized_official_first_name": "ANAND",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "337-433-0313",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "10341R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Internal Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.