MEDICARE: STELLA MARIE RADOSTA 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	208M00000X	Hospitalist Physician	330883	LA
2	207R00000X	Internal Medicine Physician	390200000X	LA

General Provider Information

NPI Number	:	1932669058
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STELLA MARIE RADOSTA MD

Provider Business Mailing Address
First Line	:	4622 TOULOUSE ST
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70119-4437
Country	:	US
Telephone Number	:	504-427-1331
Fax Number	:

Provider Business Practice Location Address
First Line	:	1430 TULANE AVE
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70112-2632
Country	:	US
Telephone Number	:	504-988-7809
Fax Number	:

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

Provider Enumeration Date	:	03/24/2019
Last Update Date	:	03/16/2026

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