Healthcare Provider Details

I. General information

NPI: 1619935681
Provider Name (Legal Business Name): JAIME A MORALES-ARIAS MD, FAAP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2006
Last Update Date: 05/12/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 HENRY CLAY AVE
NEW ORLEANS LA
70118-5720
US

IV. Provider business mailing address

200 HENRY CLAY AVE
NEW ORLEANS LA
70118-5720
US

V. Phone/Fax

Practice location:
  • Phone: 504-896-9740
  • Fax: 504-896-9758
Mailing address:
  • Phone: 504-896-9740
  • Fax: 504-896-9758

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0207X
TaxonomyPediatric Hematology & Oncology Physician
License NumberM3034
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: