Provider Demographics
NPI:1083236053
Name:FACTOR- A
Entity Type:Organization
Organization Name:FACTOR- A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:AHMAD
Authorized Official - Middle Name:
Authorized Official - Last Name:ELAKIL
Authorized Official - Suffix:
Authorized Official - Credentials:MD, MBA
Authorized Official - Phone:337-534-0248
Mailing Address - Street 1:PO BOX 81734
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70598-1734
Mailing Address - Country:US
Mailing Address - Phone:337-534-0248
Mailing Address - Fax:337-806-9642
Practice Address - Street 1:1200 CAMELLIA BLVD STE 400
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70508-6163
Practice Address - Country:US
Practice Address - Phone:337-534-0248
Practice Address - Fax:337-806-9642
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-13
Last Update Date:2020-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies