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General NPI Number Information
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NPI Number | 1245745363
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Entity Type | Organization
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Legal Business Name | IRA P MARKOWITZ MD FACS LLC
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Dates
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Enumeration Date | 12/12/2017
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Last Update Date | 12/12/2017
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Provider Practice Location Address
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Address Line | 2921 DAVID DR
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City | METAIRIE
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State | LA
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Zip | 70003-4515
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Country | US
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Telephone | 504-888-3668
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Fax |
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Provider Business Mailing Address
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Address Line | 1540 CHICKASAW AVE APT 303
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City | METAIRIE
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State | LA
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Zip | 70005-1348
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Country | US
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Telephone | 504-777-0780
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. IRA MARKOWITZ
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Credential | MD
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Telephone | 504-777-0780
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | MD.017060
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License Number State | LA
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