Healthcare Provider Details
I. General information
NPI: 1851370159
Provider Name (Legal Business Name): ARNOLD ERWIN FELDMAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 01/13/2006
Last Update Date: 08/13/2014
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
505 E AIRPORT AVE
BATON ROUGE LA
70806-6515
US
IV. Provider business mailing address
505 E AIRPORT AVE
BATON ROUGE LA
70806-6515
US
V. Phone/Fax
- Phone: 225-201-0950
- Fax: 225-201-9948
- Phone: 225-201-0950
- Fax: 225-201-9948
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208VP0014X |
| Taxonomy | Interventional Pain Medicine Physician |
| License Number | 10296R |
| License Number State | LA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: