Healthcare Provider Details

I. General information

NPI: 1457422198
Provider Name (Legal Business Name): ANDREW DAWSON CALHOUN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/13/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2221 PHILIP ST
NEW ORLEANS LA
70113-2525
US

IV. Provider business mailing address

1032 HILLARY ST
NEW ORLEANS LA
70118-5012
US

V. Phone/Fax

Practice location:
  • Phone: 504-568-6650
  • Fax: 504-568-4667
Mailing address:
  • Phone: 504-866-6627
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number019198
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: