Healthcare Provider Details

I. General information

NPI: 1245252014
Provider Name (Legal Business Name): DUANE EDWARD NEUMANN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2006
Last Update Date: 12/07/2020
Certification Date: 12/03/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

MATERNAL FETAL MEDICINE OF ACADIANA 105 CORPORATE BLVD
LAFAYETTE LA
70508-3850
US

IV. Provider business mailing address

1340 POYDRAS ST
NEW ORLEANS LA
70112-1221
US

V. Phone/Fax

Practice location:
  • Phone: 337-593-9099
  • Fax: 337-769-8509
Mailing address:
  • Phone: 504-412-1860
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number17727
License Number StateLA
# 2
Primary TaxonomyY
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License Number017727
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: