Provider Demographics
NPI:1861163305
Name:SKYLINK MEDICAL INC
Entity type:Organization
Organization Name:SKYLINK MEDICAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:M
Authorized Official - Last Name:ABRAHAM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:377-349-6655
Mailing Address - Street 1:4440-A AMBASSADOR CAFFERY PARKWAY
Mailing Address - Street 2:PMB 159
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70508
Mailing Address - Country:US
Mailing Address - Phone:337-349-6655
Mailing Address - Fax:833-561-2443
Practice Address - Street 1:106 RUE ARGENTEUIL
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70506-3726
Practice Address - Country:US
Practice Address - Phone:337-349-6655
Practice Address - Fax:833-561-2443
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-24
Last Update Date:2021-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QS1201XAllopathic & Osteopathic PhysiciansFamily MedicineSleep MedicineGroup - Single Specialty