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NPI Code Detail

MEDICARE: DR. SUSAN L RICHARME MD

MEDICARE: DR. SUSAN L RICHARME MD
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
1207Q00000XFamily Medicine Physician041202LA

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 : 1144292731
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SUSAN L RICHARME MD
Provider Business Mailing Address
First Line : 8068 GOODWOOD BLVD
Second Line :
City : BATON ROUGE
State : LA
Zip : 70806-7631
Country : US
Telephone Number : 225-927-4433
Fax Number : 225-927-4077
Provider Business Practice Location Address
First Line : 8068 GOODWOOD BLVD
Second Line :
City : BATON ROUGE
State : LA
Zip : 70806-7631
Country : US
Telephone Number : 225-927-4433
Fax Number : 225-927-4077
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/07/2006
Last Update Date : 11/21/2012

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Directions to “ DR. SUSAN L RICHARME MD” Practice Location

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