Childrens Clinic LLC

NPI #1689739971 in Destrehan, Louisiana

Provider Information

NPI Number: 1689739971
Entity Type: Organization
Organization Name: Childrens Clinic LLC
Primary Specialty: Pediatrics
Enumeration Date: Dec 27, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 3 STOREHOUSE LANE
Address 2: SUITE B
City: Destrehan
State: Louisiana
ZIP Code: 70047
Phone: (985) 764-6556

Authorized Official

Name: MUHAMMAD SHUJA, MD
Title: PART OWNER
Phone: (985) 764-6556

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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Alicia Clement Depaula, MD	Pediatrics	Destrehan	AI Deep Dive
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