PELICAN PHYSICIAN SERVICES, LLC
Medical Practice at Gause Blvd, Slidell, LA

License number
Louisiana 06512R
Category
Osteopathic Medicine
Type
Emergency Medical Services
License number
Louisiana 019740
Category
Osteopathic Medicine
Type
Family Medicine
License number
Louisiana 025659
Category
Osteopathic Medicine
Type
Internal Medicine
License number
Louisiana 025659
Category
Medical Practice
Type
Pediatrics
Owner
Name: DR. KUMAR KISHORE AMARANENI M.D
Title: OWNER/REGISTERED AGENT
Phone: (985) 645-9000
Address
Address
2375 Gause Blvd E, Slidell, LA 70461
National Provider ID: 1851609978
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about PELICAN PHYSICIAN SERVICES, LLC at bizstanding.com

PELICAN PHYSICIAN SERVICES, LLC

Slidell, LA

Registration:
Dec 28, 1999
Addresses:
2375 E Gause Blvd, Slidell, LA 70461 (Physical)
C/O Kumar K Amaraneni, Slidell, LA 70461 (Mailing)
State ID:
34872402K
Business type:
Limited Liability Company
Member:
Kumar K. Amaraneni, M.d (Member), 36060 Marshwind Ln, Slidell, LA 70460 (Physical)
Agent:
Md Kumar K. Amaraneni,36060 Marshwind Ln, Slidell, LA 70460 (Physical)

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