Healthcare Provider Details

I. General information

NPI: 1164487310
Provider Name (Legal Business Name): ARNOLD LUPIN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/19/2006
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3434 PRYTANIA ST 110
NEW ORLEANS LA
70115-3532
US

IV. Provider business mailing address

3600 PRYTANIA ST 35
NEW ORLEANS LA
70115-3628
US

V. Phone/Fax

Practice location:
  • Phone: 504-897-7007
  • Fax: 504-897-7789
Mailing address:
  • Phone: 504-897-8315
  • Fax: 504-891-9862

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number008539
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: