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NPI Code Detail

MEDICARE: DR. MICHAEL DAVID SMITH MD

MEDICARE: DR. MICHAEL DAVID SMITH 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
1207P00000XEmergency Medicine Physician35085414OH
2207P00000XEmergency Medicine PhysicianMD.207563LA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1699715250
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL DAVID SMITH MD
Provider Business Mailing Address
First Line : 1514 JEFFERSON HIGHWAY
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70121-2429
Country : US
Telephone Number : 504-842-4000
Fax Number :
Provider Business Practice Location Address
First Line : 1057 PAUL MAILLARD ROAD
Second Line :
City : LULING
State : LA
Zip : 70070-4349
Country : US
Telephone Number : 985-785-6242
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2006
Last Update Date : 10/27/2015

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Directions to “ DR. MICHAEL DAVID SMITH MD” Practice Location

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