Healthcare Provider Details

I. General information

NPI: 1982626610
Provider Name (Legal Business Name): ROBERT JOSEPH RICHARDS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2006
Last Update Date: 05/19/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1542 TULANE AVE MEDICINE/ENDOCRINOLOGY
NEW ORLEANS LA
70112-2865
US

IV. Provider business mailing address

1340 POYDRAS ST SUITE 1640
NEW ORLEANS LA
70112-1221
US

V. Phone/Fax

Practice location:
  • Phone: 504-568-5722
  • Fax: 504-568-2127
Mailing address:
  • Phone: 504-412-1835
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number09337R
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number09337R
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: