Healthcare Provider Details
I. General information
NPI: 1396035291
Provider Name (Legal Business Name): MICHAEL F. ADINOLFI, M.D.,APC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/12/2011
Last Update Date: 04/12/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3525 PRYTANIA ST SUITE 618
NEW ORLEANS LA
70115-3500
US
IV. Provider business mailing address
810 CRYSTAL ST
NEW ORLEANS LA
70124-3610
US
V. Phone/Fax
- Phone: 504-891-1478
- Fax: 504-891-4064
- Phone: 504-891-1478
- Fax: 504-891-4064
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208600000X |
| Taxonomy | Surgery Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2086S0129X |
| Taxonomy | Vascular Surgery Physician |
| License Number | MD014427 |
| License Number State | LA |
VIII. Authorized Official
Name: DR.
MICHAEL
FRANCIS
ADINOLFI
Title or Position: M.D.
Credential: M.D.
Phone: 504-891-1478