Healthcare Provider Details

I. General information

NPI: 1609166313
Provider Name (Legal Business Name): MAGDALENA BUDZIAKOWSKA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/14/2011
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4315 HOUMA BLVD STE 303
METAIRIE LA
70006-2944
US

IV. Provider business mailing address

4315 HOUMA BLVD STE 303
METAIRIE LA
70006-2944
US

V. Phone/Fax

Practice location:
  • Phone: 504-889-5242
  • Fax: 504-780-9251
Mailing address:
  • Phone: 504-889-5242
  • Fax: 504-780-9251

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License NumberMD.207021
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: