Provider Demographics
NPI:1619037900
Name:THE DIABETES AND ENDOCRINE CENTER
Entity Type:Organization
Organization Name:THE DIABETES AND ENDOCRINE CENTER
Other - Org Name:VISHNU N. BEHARI, MD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:VISHNU
Authorized Official - Middle Name:NARAYAN
Authorized Official - Last Name:BEHARI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:318-256-6000
Mailing Address - Street 1:245 HIGHLAND DR
Mailing Address - Street 2:
Mailing Address - City:MANY
Mailing Address - State:LA
Mailing Address - Zip Code:71449-3717
Mailing Address - Country:US
Mailing Address - Phone:318-256-6000
Mailing Address - Fax:318-256-2589
Practice Address - Street 1:245 HIGHLAND DR
Practice Address - Street 2:
Practice Address - City:MANY
Practice Address - State:LA
Practice Address - Zip Code:71449-3717
Practice Address - Country:US
Practice Address - Phone:318-256-6000
Practice Address - Fax:318-256-2589
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA11079R261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1663484Medicaid
LA5W327Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER
LA1663484Medicaid