Healthcare Provider Details

I. General information

NPI: 1659067890
Provider Name (Legal Business Name): NISCHAL NEUPANE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/12/2023
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 SLATE STREET TULANE PEDIATRIC ADMINISTRATION
NEW ORLEANS LA
70118
US

IV. Provider business mailing address

1320 FOUCHER ST
NEW ORLEANS LA
70115-3668
US

V. Phone/Fax

Practice location:
  • Phone: 504-988-5458
  • Fax: 504-988-6808
Mailing address:
  • Phone: 504-988-5458
  • Fax: 504-988-6808

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number83883
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: