Baker Suraj, Inc
Organization Active NPI Internal Medicine Physician · New Iberia, LA
NPI 1487956538 · NPPES record last updated Nov 23, 2010
Key facts
- NPI
- 1487956538
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 023492 (LA)
- Legal business name
- BAKER SURAJ, INC
- Practice address
- 602 N. Lewis Ave.
Suite 100
New Iberia, LA 70563 - Phone
- (337) 364-2822
- Fax
- (337) 364-1978
- NPI assigned
- Nov 23, 2010
- Organization subpart
- Yes
- Parent organization (as reported)
- BAKER SURAJ, INC.
Authorized official
- Name
- Vina S. Baker
- Title
- Physician/Medical Director
- Phone
- (337) 364-2822
Practitioners 1
-
Vina S Baker, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20101201000698 | LA | Part B Supplier - Clinic/Group Practice | 2365638434 |
Receives reassigned benefits from 1 practitioner Practice locations: New Iberia, LA |
National Provider Directory
- Part of
- Bakersuraj Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | 023492 | LA | Yes |
Addresses
Primary practice location
602 N. Lewis Ave.
Suite 100
New Iberia, LA 70563
Mailing address
602 N. Lewis Ave.
Suite 100
New Iberia, LA 70563
Phone (337) 364-2822
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1482030 | Medicaid | LA |
Other providers in New Iberia, LA
- B&B Wound Care Consultant
- Kimya S Babers
- Antoine Todd Babineaux
- Phyllis Theresa Babineaux
- Stephanie C Badon
- Vina S Baker
- Ravali Bandaru
- Patrick Shawn Baquet
- Ashley Barabin
- Marcus James Barras
All providers in New Iberia, LA · Internal Medicine Physician in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 23, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.