Healthcare Provider Details

I. General information

NPI: 1326232570
Provider Name (Legal Business Name): REBECCA CLAIRE ROQUES-DAVIS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: REBECCA CLAIRE ROQUES MD

II. Dates (important events)

Enumeration Date: 08/30/2007
Last Update Date: 07/28/2025
Certification Date: 07/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4950 ESSEN LN STE 500
BATON ROUGE LA
70809-3738
US

IV. Provider business mailing address

5215 ESSEN LN STE 200
BATON ROUGE LA
70809-3543
US

V. Phone/Fax

Practice location:
  • Phone: 225-767-0847
  • Fax: 225-767-1335
Mailing address:
  • Phone: 225-215-1281
  • Fax: 225-215-1380

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD.201875
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number201875
License Number StateLA
# 3
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number201875
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: