MEDICARE: ADAM IRWIN RIKER 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
1	2086X0206X	Surgical Oncology Physician	MD.202666	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	051542940	OTHER	AL	BCBS
4	1194773069	OTHER	GA	RAILROAD PTAN
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	51534456	OTHER	AL	BLUE CROSS
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1194773069
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADAM IRWIN RIKER MD

Provider Business Mailing Address
First Line	:	1542 TULANE AVE
Second Line	:	ROOM 741
City	:	NEW ORLEANS
State	:	LA
Zip	:	70112-2865
Country	:	US
Telephone Number	:	504-568-4752
Fax Number	:	504-568-2726

Provider Business Practice Location Address
First Line	:	1542 TULANE AVE
Second Line	:	ROOM 741
City	:	NEW ORLEANS
State	:	LA
Zip	:	70112-2865
Country	:	US
Telephone Number	:	504-568-4752
Fax Number	:	504-568-2726

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/04/2006
Last Update Date	:	09/23/2015

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Directions to “ ADAM IRWIN RIKER MD” Practice Location

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