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NPI Code Detail

MEDICARE: DR. MITCHELL J HEBERT MD

MEDICARE: DR. MITCHELL J HEBERT 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
1207RN0300XNephrology Physician018943LA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1861499154
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MITCHELL J HEBERT MD
Provider Business Mailing Address
First Line : 5131 ODONOVAN DR STE 100
Second Line :
City : BATON ROUGE
State : LA
Zip : 70808-4791
Country : US
Telephone Number : 225-767-4893
Fax Number : 225-408-1959
Provider Business Practice Location Address
First Line : 5131 ODONOVAN DR STE 100
Second Line :
City : BATON ROUGE
State : LA
Zip : 70808-4791
Country : US
Telephone Number : 225-767-4893
Fax Number : 225-408-1959
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2005
Last Update Date : 06/29/2022

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Directions to “ DR. MITCHELL J HEBERT MD” Practice Location

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