MEDICARE: DR. VICTORIA PADIAL OH 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	390200000X	Student in an Organized Health Care Education/Training Program
2	208000000X	Pediatrics Physician	351510	LA

General Provider Information

NPI Number	:	1467149567
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VICTORIA PADIAL OH MD

Provider Business Mailing Address
First Line	:	5959 S SHERWOOD FOREST BLVD
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70816-6038
Country	:	US
Telephone Number	:	225-765-8013
Fax Number	:	225-765-9196

Provider Business Practice Location Address
First Line	:	8415 GOODWOOD BLVD STE 202
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70806-7851
Country	:	US
Telephone Number	:	225-765-8013
Fax Number	:	225-765-2033

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

Provider Enumeration Date	:	04/19/2023
Last Update Date	:	05/22/2026

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Directions to “ DR. VICTORIA PADIAL OH MD” Practice Location

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