MEDICARE: DR. TIMOTHY FRANCIS DANISH 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	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	305925	LA
2	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	S9673	TX

General Provider Information

NPI Number	:	1457682924
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TIMOTHY FRANCIS DANISH MD

Provider Business Mailing Address
First Line	:	3600 PRYTANIA ST STE 35
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70115-3678
Country	:	US
Telephone Number	:	504-897-8412
Fax Number	:

Provider Business Practice Location Address
First Line	:	1453 E BERT KOUN LOOP STE 319
Second Line	:
City	:	SHREVEPORT
State	:	LA
Zip	:	71105-6800
Country	:	US
Telephone Number	:	318-681-1968
Fax Number	:	318-681-1969

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

Provider Enumeration Date	:	01/23/2010
Last Update Date	:	03/06/2026

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