Healthcare Provider Details

I. General information

NPI: 1912945684
Provider Name (Legal Business Name): STERLING MILTON III MD
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 06/03/2006
Last Update Date: 01/11/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 W ESPLANADE AVE
KENNER LA
70065-2758
US

IV. Provider business mailing address

200 CORPORATE BLVD SUITE #201
LAFAYETTE LA
70508-3870
US

V. Phone/Fax

Practice location:
  • Phone: 504-739-9105
  • Fax:
Mailing address:
  • Phone: 800-893-9698
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number025509
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: