Provider Demographics
NPI:1093083388
Name:SAINI MEDICAL ASSOCIATES LLC
Entity Type:Organization
Organization Name:SAINI MEDICAL ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MBR
Authorized Official - Prefix:DR
Authorized Official - First Name:SATINDER
Authorized Official - Middle Name:
Authorized Official - Last Name:SAINI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:337-788-1733
Mailing Address - Street 1:2001 N AVENUE D
Mailing Address - Street 2:
Mailing Address - City:CROWLEY
Mailing Address - State:LA
Mailing Address - Zip Code:70526-2332
Mailing Address - Country:US
Mailing Address - Phone:337-788-1733
Mailing Address - Fax:337-788-0028
Practice Address - Street 1:1455 WRIGHT AVE
Practice Address - Street 2:
Practice Address - City:CROWLEY
Practice Address - State:LA
Practice Address - Zip Code:70526-2220
Practice Address - Country:US
Practice Address - Phone:337-788-1733
Practice Address - Fax:337-788-0028
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-01
Last Update Date:2011-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1154962Medicaid
LAH84528Medicare UPIN
LA4F160Medicare PIN