Healthcare Provider Details

I. General information

NPI: 1588665400
Provider Name (Legal Business Name): MADELAINE ANN FELDMAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/02/2005
Last Update Date: 02/28/2023
Certification Date: 02/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 VETERANS MEMORIAL BLVD SUITE #404
METAIRIE LA
70005-3028
US

IV. Provider business mailing address

111 VETERANS MEMORIAL BLVD SUITE #404
METAIRIE LA
70005-3028
US

V. Phone/Fax

Practice location:
  • Phone: 504-899-1120
  • Fax: 504-899-2432
Mailing address:
  • Phone: 504-899-1120
  • Fax: 504-899-2432

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number016753
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: