Healthcare Provider Details

I. General information

NPI: 1750592473
Provider Name (Legal Business Name): FRANK GEORGE OPELKA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/24/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

533 BOLIVAR ST
NEW ORLEANS LA
70112-1349
US

IV. Provider business mailing address

10104 GAIL CT
RIVER RIDGE LA
70123-1930
US

V. Phone/Fax

Practice location:
  • Phone: 504-568-6148
  • Fax:
Mailing address:
  • Phone: 504-655-4599
  • Fax: 866-242-9132

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208C00000X
TaxonomyColon & Rectal Surgery Physician
License Number213711
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: