Healthcare Provider Details

I. General information

NPI: 1063112282
Provider Name (Legal Business Name): PAMELA RAPITI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/07/2023
Last Update Date: 03/07/2023
Certification Date: 03/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1315 JEFFERSON HIGHWAY DEPT OF PEDIATRICS , DR LENNARZ
NEW ORLEANS LA
70121
US

IV. Provider business mailing address

7300 LAKESHORE DR APT 8
NEW ORLEANS LA
70124-2462
US

V. Phone/Fax

Practice location:
  • Phone: 504-842-9232
  • Fax:
Mailing address:
  • Phone: 504-234-9326
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0402X
TaxonomyNeurology with Special Qualifications in Child Neurology Physician
License Number333593
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code2084P0301X
TaxonomyBrain Injury Medicine (Psychiatry & Neurology) Physician
License Number333593
License Number StateLA
# 3
Primary TaxonomyN
Taxonomy Code2084N0008X
TaxonomyNeuromuscular Medicine (Psychiatry & Neurology) Physician
License Number333593
License Number StateLA
# 4
Primary TaxonomyN
Taxonomy Code2084P0005X
TaxonomyNeurodevelopmental Disabilities Physician
License Number333593
License Number StateLA
# 5
Primary TaxonomyN
Taxonomy Code2084B0040X
TaxonomyBehavioral Neurology & Neuropsychiatry Physician
License Number333593
License Number StateLA
# 6
Primary TaxonomyN
Taxonomy Code2084E0001X
TaxonomyEpilepsy Physician
License Number333593
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: