Healthcare Provider Details

I. General information

NPI: 1902980154
Provider Name (Legal Business Name): GIOVANNI PIEDIMONTE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/24/2006
Last Update Date: 04/27/2020
Certification Date: 04/27/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 HENRY CLAY AVE
NEW ORLEANS LA
70118-5798
US

IV. Provider business mailing address

31849 S WOODLAND RD
PEPPER PIKE OH
44124-5830
US

V. Phone/Fax

Practice location:
  • Phone: 504-896-9436
  • Fax: 504-896-3993
Mailing address:
  • Phone: 216-538-1173
  • Fax: 216-636-1445

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0214X
TaxonomyPediatric Pulmonology Physician
License Number35.120377
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: