Healthcare Provider Details

I. General information

NPI: 1619973237
Provider Name (Legal Business Name): PATRICK A. DELANEY JR. M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/28/2005
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15813 PAUL VEGA MD DR STE 403
HAMMOND LA
70403-1426
US

IV. Provider business mailing address

PO BOX 2668
HAMMOND LA
70404-2668
US

V. Phone/Fax

Practice location:
  • Phone: 985-230-7350
  • Fax: 985-230-7351
Mailing address:
  • Phone: 985-230-1683
  • Fax: 985-230-6652

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberMD.016600
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: