MEDICARE: DR. DANIEL E MARSH 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	207RN0300X	Nephrology Physician	11246R	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	:	1629075999
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANIEL E MARSH MD

Provider Business Mailing Address
First Line	:	PO BOX 83130
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70884-3130
Country	:	US
Telephone Number	:	225-767-4893
Fax Number	:	225-767-5494

Provider Business Practice Location Address
First Line	:	5238 DIJON DR
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70808-4311
Country	:	US
Telephone Number	:	225-526-0365
Fax Number	:	225-526-0365

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

Provider Enumeration Date	:	07/01/2005
Last Update Date	:	05/11/2021

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