MEDICARE: DR. MOISES ALBERTO ARRIAGA 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	207YX0901X	Otology & Neurotology Physician	J3038	TX
2	207YX0901X	Otology & Neurotology Physician	MD037934-E	PA
3	207YX0901X	Otology & Neurotology Physician	MD200006	LA
4	207YX0901X	Otology & Neurotology Physician	G66176	CA

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

General Provider Information

NPI Number	:	1912902941
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MOISES ALBERTO ARRIAGA MD

Provider Business Mailing Address
First Line	:	7777 HENNESSY BLVD
Second Line	:	SUITE 709
City	:	BATON ROUGE
State	:	LA
Zip	:	70808-4300
Country	:	US
Telephone Number	:	225-765-7735
Fax Number	:	225-765-1023

Provider Business Practice Location Address
First Line	:	7777 HENNESSY BLVD
Second Line	:	SUITE 709
City	:	BATON ROUGE
State	:	LA
Zip	:	70808-4300
Country	:	US
Telephone Number	:	225-765-7735
Fax Number	:	225-765-1023

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

Provider Enumeration Date	:	06/16/2005
Last Update Date	:	01/05/2021

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Directions to “ DR. MOISES ALBERTO ARRIAGA MD” Practice Location

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