Healthcare Provider Details

I. General information

NPI: 1417397506
Provider Name (Legal Business Name): ABHINAV SAXENA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/03/2013
Last Update Date: 05/05/2023
Certification Date: 04/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4224 HOUMA BLVD STE 500
METAIRIE LA
70006-2938
US

IV. Provider business mailing address

4200 HOUMA BLVD, MEDICAL STAFF OFFICE
METAIRIE LA
70006
US

V. Phone/Fax

Practice location:
  • Phone: 504-503-4102
  • Fax: 504-456-6737
Mailing address:
  • Phone: 504-503-6781
  • Fax: 504-503-5667

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number324469
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number324469
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: