Healthcare Provider Details
I. General information
NPI: 1477509107
Provider Name (Legal Business Name): ARNOLD B. ALPER JR. M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/25/2006
Last Update Date: 04/05/2017
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1415 TULANE AVE
NEW ORLEANS LA
70112-2600
US
IV. Provider business mailing address
1430 TULANE AVE SL-45
NEW ORLEANS LA
70112-2632
US
V. Phone/Fax
- Phone: 504-988-5838
- Fax: 504-988-7691
- Phone: 504-988-5346
- Fax: 504-988-1909
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 174400000X |
| Taxonomy | Specialist |
| License Number | |
| License Number State | NULL |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RN0300X |
| Taxonomy | Nephrology Physician |
| License Number | MD.022529 |
| License Number State | LA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: