Benton Medical Clinic, LLC
Organization Active NPI Family Medicine Physician · Benton, LA
NPI 1679905756 · NPPES record last updated Jul 31, 2013
Key facts
- NPI
- 1679905756
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 09509R (LA)
- Legal business name
- BENTON MEDICAL CLINIC, LLC
- Practice address
- 188 Burt Blvd
Benton, LA 71006-4900 - Phone
- (318) 798-4539
- Fax
- (318) 798-4601
- NPI assigned
- Jul 31, 2013
- Organization subpart
- No
Authorized official
- Name
- Dr. Iram K Zando, MD
- Title
- MD/Owner
- Phone
- (318) 798-4539
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | 09509R | LA | Yes |
Addresses
Primary practice location
188 Burt Blvd
Benton, LA 71006-4900
Mailing address
PO Box 52364
Shreveport, LA 71135-2364
Phone (318) 798-4664
Other providers in Benton, LA
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- Benton Family Dentistry LLC
- Benton Family Medicine, LLC
- Benton Medical
- Benton Physical Therapy, LLC
- Carl Richard Bibbee II
- Courtney Brooks
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- Ricarter Sylvester Broomes
All providers in Benton, LA · Family 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 Jul 31, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.