Healthcare Provider Details

I. General information

NPI: 1093864514
Provider Name (Legal Business Name): HENRY J. KAUFMAN IV, MD, APMC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/10/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

917 COOLIDGE BLVD
LAFAYETTE LA
70503-2433
US

IV. Provider business mailing address

917 COOLIDGE BLVD
LAFAYETTE LA
70503-2433
US

V. Phone/Fax

Practice location:
  • Phone: 337-237-5774
  • Fax: 337-237-4939
Mailing address:
  • Phone: 337-237-5774
  • Fax: 337-237-4939

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code2086X0206X
TaxonomySurgical Oncology Physician
License Number
License Number StateLA

VIII. Authorized Official

Name: DR. HENRY JOSEPH KAUFMAN IV
Title or Position: PRESIDENT
Credential:
Phone: 337-237-5774