Healthcare Provider Details

I. General information

NPI: 1912394925
Provider Name (Legal Business Name): MEREDITH WALKER ALLAIN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MEREDITH LEIGH WALKER MD

II. Dates (important events)

Enumeration Date: 04/17/2015
Last Update Date: 09/30/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1319 JEFFERSON HWY
NEW ORLEANS LA
70121
US

IV. Provider business mailing address

1514 JEFFERSON HWY
NEW ORLEANS LA
70121-2429
US

V. Phone/Fax

Practice location:
  • Phone: 504-842-5025
  • Fax: 504-842-5250
Mailing address:
  • Phone: 504-842-4000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207SG0201X
TaxonomyClinical Genetics (M.D.) Physician
License NumberA146935
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number320358
License Number StateLA
# 3
Primary TaxonomyY
Taxonomy Code207SG0201X
TaxonomyClinical Genetics (M.D.) Physician
License Number320358
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: