MEDICARE: DR. DAVID SHANNON CABILING 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	208200000X	Plastic Surgery Physician	MD439929	PA
2	208200000X	Plastic Surgery Physician	35123880	OH
3	2086S0122X	Plastic and Reconstructive Surgery Physician	310853	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

General Provider Information

NPI Number	:	1578761128
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID SHANNON CABILING MD

Provider Business Mailing Address
First Line	:	PO BOX 8664
Second Line	:
City	:	METAIRIE
State	:	LA
Zip	:	70011-8664
Country	:	US
Telephone Number	:	504-899-2800
Fax Number	:	504-899-2700

Provider Business Practice Location Address
First Line	:	1717 SAINT CHARLES AVE
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70130-5223
Country	:	US
Telephone Number	:	504-899-2800
Fax Number	:	504-899-2700

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

Provider Enumeration Date	:	07/05/2007
Last Update Date	:	03/27/2023

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