Healthcare Provider Details

I. General information

NPI: 1285716886
Provider Name (Legal Business Name): DAVID L SCHNEIDER MD APMC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/20/2006
Last Update Date: 04/04/2024
Certification Date: 04/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1151 BARATARIA BLVD STE 3100
MARRERO LA
70072-3083
US

IV. Provider business mailing address

1151 BARATARIA BLVD STE 3100
MARRERO LA
70072-3083
US

V. Phone/Fax

Practice location:
  • Phone: 504-934-8461
  • Fax: 504-227-9600
Mailing address:
  • Phone: 504-934-8462
  • Fax: 504-371-3811

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ADIL L FATAKIA
Title or Position: OWNER
Credential: MD
Phone: 504-934-8461