Healthcare Provider Details

I. General information

NPI: 1972568731
Provider Name (Legal Business Name): SALVADOR CAPUTTO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/17/2006
Last Update Date: 07/10/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 FOUCHER ST
NEW ORLEANS LA
70115-3515
US

IV. Provider business mailing address

3600 PRYTANIA ST SUITE 35
NEW ORLEANS LA
70115-3628
US

V. Phone/Fax

Practice location:
  • Phone: 504-897-8970
  • Fax: 504-897-8777
Mailing address:
  • Phone: 504-897-8315
  • Fax: 504-891-9862

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number013561
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: