Provider Demographics
NPI:1649321894
Name:PROGRESSIVE HEALTHCARE SOLUTIONS
Entity type:Organization
Organization Name:PROGRESSIVE HEALTHCARE SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ILYAS
Authorized Official - Middle Name:G
Authorized Official - Last Name:MUNSHI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:337-234-5344
Mailing Address - Street 1:PO BOX 53768
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70505-3768
Mailing Address - Country:US
Mailing Address - Phone:337-234-5344
Mailing Address - Fax:337-267-3293
Practice Address - Street 1:913 S COLLEGE RD
Practice Address - Street 2:SUITE 102
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70503-3060
Practice Address - Country:US
Practice Address - Phone:337-234-5344
Practice Address - Fax:337-267-3293
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment