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NPI Code Detail

MEDICARE: MICHELE MARIE SALASSI M.D.

MEDICARE: MICHELE MARIE SALASSI 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
1207R00000XInternal Medicine PhysicianMD.203767LA
2208000000XPediatrics PhysicianMD.203767LA

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 : 1134386642
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELE MARIE SALASSI M.D.
Provider Business Mailing Address
First Line : PO BOX 84460
Second Line :
City : BATON ROUGE
State : LA
Zip : 70884-4460
Country : US
Telephone Number : 225-765-5727
Fax Number : 225-765-9196
Provider Business Practice Location Address
First Line : 18901 GREENWELL SPRINGS RD
Second Line :
City : GREENWELL SPRINGS
State : LA
Zip : 70739-4827
Country : US
Telephone Number : 225-924-9985
Fax Number : 225-924-0884
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/21/2008
Last Update Date : 04/07/2021

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