Provider Demographics
NPI:1114176971
Name:DOCTORS AFTER HOURS LLC
Entity Type:Organization
Organization Name:DOCTORS AFTER HOURS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:SRINIVAS
Authorized Official - Middle Name:
Authorized Official - Last Name:KATA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:504-952-5677
Mailing Address - Street 1:4417 FOLSE DR
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70006-1226
Mailing Address - Country:US
Mailing Address - Phone:504-885-8700
Mailing Address - Fax:504-885-8701
Practice Address - Street 1:5236 VETERANS BLVD
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70006-5123
Practice Address - Country:US
Practice Address - Phone:504-885-8700
Practice Address - Fax:504-885-8701
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-16
Last Update Date:2008-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAMD200936261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA4K24CK15Medicare PIN