MEDICARE: CHARLES A MOORE 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
1	207Y00000X	Otolaryngology Physician	57.028402	OH
2	207Y00000X	Otolaryngology Physician	327892	LA

General Provider Information

NPI Number	:	1417319807
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHARLES A MOORE M.D.

Provider Business Mailing Address
First Line	:	604 N ACADIA RD STE 101
Second Line	:
City	:	THIBODAUX
State	:	LA
Zip	:	70301-4897
Country	:	US
Telephone Number	:	854-465-0799
Fax Number	:	985-447-2497

Provider Business Practice Location Address
First Line	:	2308 E MAIN ST STE B
Second Line	:
City	:	NEW IBERIA
State	:	LA
Zip	:	70560-4029
Country	:	US
Telephone Number	:	337-369-3683
Fax Number	:

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

Provider Enumeration Date	:	03/24/2016
Last Update Date	:	03/28/2024

Similar Medicare Providers

1619940889 — DR. JOHN C OSBORNE M.D.
Practice Location Address:

2308 E MAIN ST STE C
NEW IBERIA, LA
70560-4029

Practice Phone: 337-369-1434
Practice Fax: 337-369-1436

1093737728 — ROBERT S LEWIS MD
Practice Location Address:

2308 E MAIN ST STE F
NEW IBERIA, LA
70560-4029

Practice Phone: 337-364-8890
Practice Fax: 337-364-8552

1700131950 — DR. NICHOLAS CHARLES SORREL MD
Practice Location Address:

2308 E MAIN ST STE B
NEW IBERIA, LA
70560-4029

Practice Phone: 337-369-3683
Practice Fax: 877-796-4339

1437556289 — DR. KARUNASRI JANGA MD
Practice Location Address:

2308 E MAIN ST STE G
NEW IBERIA, LA
70560-4029

Practice Phone: 337-367-2001
Practice Fax: 337-365-3050

1508259540 — RANA EL SABBAGH M.D.
Practice Location Address:

2308 E MAIN ST STE E
NEW IBERIA, LA
70560-4029

Practice Phone: 337-374-7156
Practice Fax: 337-456-9056

1043936602 — ALLYSON HEBERT FNP-C
Practice Location Address:

2308 E MAIN ST STE B
NEW IBERIA, LA
70560-4029

Practice Phone: 337-369-3683
Practice Fax: 877-796-6140

Directions to “ CHARLES A MOORE M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.