Healr Clinic of Lafayette LLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

HEALR CLINIC OF LAFAYETTE LLC

Practice address

3809 Ambassador Caffery Pkwy Ste 120C
Lafayette, LA 70503-5275

Phone

(337) 446-4501

Fax

(337) 436-2144

NPI assigned

Nov 15, 2024

Organization subpart

No

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

Authorized official

Name

Kuntal Mohare, MD

Title

Managing Member

Phone

(337) 446-4501

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1731628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731628800000",
    "number": "1891510897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3809 AMBASSADOR CAFFERY PKWY STE 120C",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705035275",
            "telephone_number": "337-446-4501",
            "fax_number": "337-436-2144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3809 AMBASSADOR CAFFERY PKWY STE 120C",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705035275",
            "telephone_number": "337-446-4501",
            "fax_number": "337-436-2144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALR CLINIC OF LAFAYETTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-15",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A",
        "authorized_official_last_name": "MOHARE",
        "authorized_official_first_name": "KUNTAL",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "337-446-4501",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nephrology Physician in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Nephrology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; 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.