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NPI Code Detail

MEDICARE: PEDRO A. SERRANT M.D.

MEDICARE:   PEDRO A. SERRANT  M.D.
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
1207R00000XInternal Medicine Physician08708RLA

Other Identifiers

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

General Provider Information

NPI Number : 1740287820
Entity Type Code : Individual
Provider Name (Legal Business Name) : PEDRO A. SERRANT M.D.
Provider Business Mailing Address
First Line : 1850 GAUSE BLVD E
Second Line : SUITE 103
City : SLIDELL
State : LA
Zip : 70461-5442
Country : US
Telephone Number : 985-646-4464
Fax Number : 985-646-4475
Provider Business Practice Location Address
First Line : 1850 GAUSE BLVD E
Second Line : SUITE 103
City : SLIDELL
State : LA
Zip : 70461-5442
Country : US
Telephone Number : 985-646-4464
Fax Number : 985-646-4475
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/05/2005
Last Update Date : 05/18/2011

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Directions to “ PEDRO A. SERRANT M.D.” Practice Location

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