Healthcare Provider Details

I. General information

NPI: 1841488616
Provider Name (Legal Business Name): GARY J DANOS, MD, L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2007
Last Update Date: 10/05/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3525 PRYTANIA ST
NEW ORLEANS LA
70115-3500
US

IV. Provider business mailing address

1929 PALMER AVE
NEW ORLEANS LA
70118-6217
US

V. Phone/Fax

Practice location:
  • Phone: 504-897-7694
  • Fax:
Mailing address:
  • Phone: 504-897-7694
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License NumberMD.011688
License Number StateLA

VIII. Authorized Official

Name: GARY DANOS
Title or Position: OWNER
Credential: M.D.
Phone: 504-897-7694