MEDICARE: NADJEL LAO OPAMEN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1174269435
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NADJEL LAO OPAMEN M.D.

Provider Business Mailing Address
First Line	:	200 HENRY CLAY AVE
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70118-5720
Country	:	US
Telephone Number	:	504-896-9589
Fax Number	:	504-896-9311

Provider Business Practice Location Address
First Line	:	200 HENRY CLAY AVE
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70118-5720
Country	:	US
Telephone Number	:	504-896-9589
Fax Number	:	504-896-9311

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/10/2022
Last Update Date	:	04/13/2026

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