Healthcare Provider Details

I. General information

NPI: 1851788251
Provider Name (Legal Business Name): JOSEPH GIAIMO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/23/2015
Last Update Date: 07/20/2023
Certification Date: 07/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1542 TULANE AVE ROOM 734C
NEW ORLEANS LA
70112-2865
US

IV. Provider business mailing address

2021 PERDIDO ST FL 8
NEW ORLEANS LA
70112-1352
US

V. Phone/Fax

Practice location:
  • Phone: 504-568-4760
  • Fax:
Mailing address:
  • Phone: 504-568-4760
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number331085
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: