Healthcare Provider Details

I. General information

NPI: 1477957504
Provider Name (Legal Business Name): GNO SNORING AND SINUS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2014
Last Update Date: 10/24/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4224 HOUMA BLVD STE 205
METAIRIE LA
70006-2935
US

IV. Provider business mailing address

4224 HOUMA BLVD STE 205
METAIRIE LA
70006-2935
US

V. Phone/Fax

Practice location:
  • Phone: 504-309-8615
  • Fax: 504-309-8616
Mailing address:
  • Phone: 504-309-8615
  • Fax: 504-309-8616

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberMD 202610
License Number StateLA

VIII. Authorized Official

Name: AKASH G ANAND
Title or Position: MEMBER
Credential: M.D
Phone: 504-309-8615