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NPI Code Detail

MEDICARE: DR. RICHARD M. CARR M.D.

MEDICARE: DR. RICHARD M. CARR 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
1208D00000XGeneral Practice PhysicianMD207352LA

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 : 1144223108
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RICHARD M. CARR M.D.
Provider Business Mailing Address
First Line : 1631 ELYSIAN FIELDS AVE
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70117-8208
Country : US
Telephone Number : 504-821-2601
Fax Number : 504-814-6047
Provider Business Practice Location Address
First Line : 1631 ELYSIAN FIELDS AVE
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70117-8208
Country : US
Telephone Number : 504-821-2601
Fax Number : 504-814-6047
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2005
Last Update Date : 02/26/2020

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