MEDICARE: FRANCISCO J CANDAL 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
1	207RP1001X	Pulmonary Disease Physician	05598R	LA
2	207R00000X	Internal Medicine Physician	MD05598R	LA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	08007055	OTHER	LA	RAILROAD MEDICARE

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	0689859	OTHER	LA	AETNA

General Provider Information

NPI Number	:	1851396345
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FRANCISCO J CANDAL M.D.

Provider Business Mailing Address
First Line	:	2240 GAUSE BLVD. EAST
Second Line	:
City	:	SLIDELL
State	:	LA
Zip	:	70461
Country	:	US
Telephone Number	:	985-718-4333
Fax Number	:	985-267-0310

Provider Business Practice Location Address
First Line	:	2240 GAUSE BLVD. EAST
Second Line	:
City	:	SLIDELL
State	:	LA
Zip	:	70461
Country	:	US
Telephone Number	:	985-718-4333
Fax Number	:	985-267-0310

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

Provider Enumeration Date	:	06/20/2005
Last Update Date	:	09/26/2014

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Directions to “ FRANCISCO J CANDAL M.D.” Practice Location

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