Healthcare Provider Details

I. General information

NPI: 1922001627
Provider Name (Legal Business Name): MICHAEL S CAIN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/27/2005
Last Update Date: 03/25/2020
Certification Date: 03/25/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1211 COOLIDGE BLVD STE 100
LAFAYETTE LA
70503-2638
US

IV. Provider business mailing address

PO BOX 54287
NEW ORLEANS LA
70154-4287
US

V. Phone/Fax

Practice location:
  • Phone: 337-289-8400
  • Fax: 337-289-8401
Mailing address:
  • Phone: 337-706-1500
  • Fax: 337-354-0026

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number021651
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: