Healthcare Provider Details

I. General information

NPI: 1750573747
Provider Name (Legal Business Name): LOUIS CATALDIE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/14/2007
Last Update Date: 12/11/2020
Certification Date: 12/11/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3535 BRENTWOOD DR
BATON ROUGE LA
70809-1643
US

IV. Provider business mailing address

6038 JEFFERSON HWY
BATON ROUGE LA
70806-8013
US

V. Phone/Fax

Practice location:
  • Phone: 225-757-8044
  • Fax:
Mailing address:
  • Phone: 225-924-2095
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License Number12613
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: