Healthcare Provider Details

I. General information

NPI: 1700889177
Provider Name (Legal Business Name): RICHARD N. SHERMAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/31/2005
Last Update Date: 05/25/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2633 NAPOLEON AVE SUITE 815
NEW ORLEANS LA
70115-7412
US

IV. Provider business mailing address

2633 NAPOLEON AVE SUITE 815
NEW ORLEANS LA
70115-7412
US

V. Phone/Fax

Practice location:
  • Phone: 504-899-7158
  • Fax: 504-899-7161
Mailing address:
  • Phone: 504-899-7158
  • Fax: 504-899-7161

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number020084
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code207NS0135X
TaxonomyProcedural Dermatology Physician
License Number020084
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: