Healthcare Provider Details

I. General information

NPI: 1538253901
Provider Name (Legal Business Name): ROBERT GALAGAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 01/26/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1430 TULANE AVE SL-53
NEW ORLEANS LA
70112-2632
US

IV. Provider business mailing address

1430 TULANE AVE SL-53
NEW ORLEANS LA
70112-2632
US

V. Phone/Fax

Practice location:
  • Phone: 504-988-3162
  • Fax: 504-988-6271
Mailing address:
  • Phone: 504-988-3162
  • Fax: 504-988-6271

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License NumberMD.207609
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: