Provider Demographics
NPI:1003990656
Name:ALEMANY, FERNANDO (MD,)
Entity Type:Individual
Prefix:
First Name:FERNANDO
Middle Name:
Last Name:ALEMANY
Suffix:
Gender:M
Credentials:MD,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3975 I-49 S SERVICES RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:OPELOUSAS
Mailing Address - State:LA
Mailing Address - Zip Code:70570-0758
Mailing Address - Country:US
Mailing Address - Phone:337-594-0750
Mailing Address - Fax:337-594-0752
Practice Address - Street 1:3975 I-49 S SERVICES RD
Practice Address - Street 2:SUITE 200
Practice Address - City:OPELOUSAS
Practice Address - State:LA
Practice Address - Zip Code:70570-0758
Practice Address - Country:US
Practice Address - Phone:337-594-0750
Practice Address - Fax:337-594-0752
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-24
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA024087207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1574635Medicaid
LA024087OtherLICENSE
LA5CS00Medicare ID - Type UnspecifiedMEDICARE PROVIDER NO
LA024087OtherLICENSE