MEDICARE: PARISH ANESTHESIA UPTOWN, LLC

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	367500000X	Certified Registered Nurse Anesthetist
2	207L00000X	Anesthesiology Physician

General Provider Information

NPI Number	:	1629218565
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PARISH ANESTHESIA UPTOWN, LLC

Provider Business Mailing Address
First Line	:	3850 N CAUSEWAY BLVD STE 1565
Second Line	:
City	:	METAIRIE
State	:	LA
Zip	:	70002-8115
Country	:	US
Telephone Number	:	504-408-0804
Fax Number	:	504-779-5568

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	:	504-779-5515
Fax Number	:

Authorized Official
Title or Position	:	CHIEF OPERATING OFFICER
Name	:	CHANTEL M DAUZAT
Credential	:	MJ-LEL
Telephone Number	:	504-408-0804

Provider Enumeration Date	:	03/05/2009
Last Update Date	:	02/22/2023

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