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NPI Code Detail

MEDICARE: WILLIAM K. IMSAIS MD

MEDICARE: WILLIAM K. IMSAIS MD
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
1207P00000XEmergency Medicine PhysicianM7290TX
2207P00000XEmergency Medicine PhysicianMD026039LA
3207R00000XInternal Medicine PhysicianMD026039LA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2190193617OTHERTXCSHCN
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4G6438OTHERLABCBS

General Provider Information

NPI Number : 1770548349
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM K. IMSAIS MD
Provider Business Mailing Address
First Line : 1542 TULANE AVE
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70112-2865
Country : US
Telephone Number : 504-310-3704
Fax Number :
Provider Business Practice Location Address
First Line : 2000 CANAL ST
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70112-3018
Country : US
Telephone Number : 504-702-3000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/18/2006
Last Update Date : 07/03/2019

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Directions to “ WILLIAM K. IMSAIS MD” Practice Location

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