Zachary Internal Medicine Clinic, LLC
Organization Active NPI Rural Health Clinic/Center · Slaughter, LA
NPI 1730634015 · NPPES record last updated Nov 8, 2021
Key facts
- NPI
- 1730634015
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- Legal business name
- ZACHARY INTERNAL MEDICINE CLINIC, LLC
- Practice address
- 1169 Highway 19 Ste B
Slaughter, LA 70777-3404 - Phone
- (225) 570-2257
- Fax
- (225) 286-4078
- NPI assigned
- Aug 17, 2016
- Organization subpart
- No
Authorized official
- Name
- Venu Babu Kakarala, MD
- Title
- Owner
- Phone
- (225) 570-2732
Practitioners 2
-
Heather Garrot, FNP-C
National Provider Directory
Interoperability endpoints
- https://api.platform.athenahealth.com/19631/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | Yes |
Addresses
Primary practice location
1169 Highway 19 Ste B
Slaughter, LA 70777-3404
Mailing address
1169 Highway 19 Ste B
Slaughter, LA 70777-3404
Phone (225) 570-2257
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2515802 | Medicaid | LA |
Other providers in Slaughter, LA
- Melanie Stowers
- Taylor Made Speech Therapy LLC
- Lisa Lebon Williams
- Shelby S Willis
- Zachary Internal Medicine Clinic LLC
All providers in Slaughter, LA · Rural Health Clinic/Center 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 8, 2021. 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.