Provider Demographics
NPI:1174099568
Name:COMPREHENSIVE MEDICAL LLC
Entity type:Organization
Organization Name:COMPREHENSIVE MEDICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SUNEIL
Authorized Official - Middle Name:
Authorized Official - Last Name:JOLLY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-909-2909
Mailing Address - Street 1:3434 HOUMA BLVD STE 301
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70006-4201
Mailing Address - Country:US
Mailing Address - Phone:504-459-4070
Mailing Address - Fax:504-304-9575
Practice Address - Street 1:3434 HOUMA BLVD STE 301
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70006-4201
Practice Address - Country:US
Practice Address - Phone:504-635-2115
Practice Address - Fax:504-304-9575
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-23
Last Update Date:2023-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Single Specialty