Healthcare Provider Details

I. General information

NPI: 1376722694
Provider Name (Legal Business Name): A. JOANNE GATES MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ALMA JOANNE GATES

II. Dates (important events)

Enumeration Date: 11/02/2007
Last Update Date: 11/02/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2210 CALHOUN ST
NEW ORLEANS LA
70118-6350
US

IV. Provider business mailing address

2210 CALHOUN ST
NEW ORLEANS LA
70118-6350
US

V. Phone/Fax

Practice location:
  • Phone: 504-861-7437
  • Fax:
Mailing address:
  • Phone: 504-861-7437
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number011501
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: