Healthcare Provider Details

I. General information

NPI: 1013108463
Provider Name (Legal Business Name): TAMMY HARVEY D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/08/2007
Last Update Date: 03/22/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3321 W ESPLANADE AVE S
METAIRIE LA
70002-3421
US

IV. Provider business mailing address

3321 W ESPLANADE AVE S
METAIRIE LA
70002-3421
US

V. Phone/Fax

Practice location:
  • Phone: 504-266-2444
  • Fax: 504-266-2445
Mailing address:
  • Phone: 504-266-2444
  • Fax: 504-266-2445

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License NumberDO.000121
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberDO.000121
License Number StateLA
# 3
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberDO.000121
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: