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NPI Code Detail

MEDICARE: SALVADOR J SUAU MD

MEDICARE: SALVADOR J SUAU 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 PhysicianMD.206086LA
2390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1942493564
Entity Type Code : Individual
Provider Name (Legal Business Name) : SALVADOR J SUAU MD
Provider Business Mailing Address
First Line : 1816 INDUSTRIAL BLVD
Second Line :
City : HARVEY
State : LA
Zip : 70058-2314
Country : US
Telephone Number : 504-366-7638
Fax Number : 504-366-1029
Provider Business Practice Location Address
First Line : 1816 INDUSTRIAL BLVD
Second Line :
City : HARVEY
State : LA
Zip : 70058-2314
Country : US
Telephone Number : 504-366-7638
Fax Number : 504-366-1029
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/27/2007
Last Update Date : 07/24/2017

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