Healthcare Provider Details

I. General information

NPI: 1639885940
Provider Name (Legal Business Name): NICHOLAS D PAPPAS III MD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2023
Last Update Date: 12/22/2023
Certification Date: 12/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2520 HARVARD AVE FL 1
METAIRIE LA
70001-1172
US

IV. Provider business mailing address

226 W LIVINGSTON PL
METAIRIE LA
70005-3950
US

V. Phone/Fax

Practice location:
  • Phone: 504-226-2871
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: NICHOLAS PAPPAS
Title or Position: AUTHORIZED MEMBER
Credential:
Phone: 615-830-8777