Healthcare Provider Details

I. General information

NPI: 1801978937
Provider Name (Legal Business Name): MARGOT H ANDERSON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/19/2006
Last Update Date: 10/22/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 HENRY CLAY AVE
NEW ORLEANS LA
70118-5720
US

IV. Provider business mailing address

1430 TULANE AVE 8637
NEW ORLEANS LA
70112-2699
US

V. Phone/Fax

Practice location:
  • Phone: 504-896-9820
  • Fax: 504-894-5137
Mailing address:
  • Phone: 504-988-2550
  • Fax: 504-988-1771

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberEC-05-069
License Number StateME
# 2
Primary TaxonomyY
Taxonomy Code2080P0208X
TaxonomyPediatric Infectious Diseases Physician
License NumberMD.204153
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: