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NPI Code Detail

MEDICARE: DR. ROBERT ANCIRA M.D.

MEDICARE:  DR. ROBERT  ANCIRA  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician012137LA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1063428092
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT ANCIRA M.D.
Provider Business Mailing Address
First Line : 1325 AMELIA ST
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70115-3625
Country : US
Telephone Number : 504-891-8503
Fax Number : 504-891-9428
Provider Business Practice Location Address
First Line : 1325 AMELIA ST
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70115-3625
Country : US
Telephone Number : 504-891-8503
Fax Number : 504-891-9428
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/31/2006
Last Update Date : 07/08/2007

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Directions to “ DR. ROBERT ANCIRA M.D.” Practice Location

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