MEDICARE: MR. DODANIM FRANCISCO ALTAMIRANO 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	208000000X	Pediatrics Physician	11525R	LA

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

General Provider Information

NPI Number	:	1972598712
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DODANIM FRANCISCO ALTAMIRANO MD

Provider Business Mailing Address
First Line	:	504 JACK MILLER RD
Second Line	:	SUITE 3
City	:	VILLE PLATTE
State	:	LA
Zip	:	70586-5600
Country	:	US
Telephone Number	:	337-363-3560
Fax Number	:	337-363-3507

Provider Business Practice Location Address
First Line	:	504 JACK MILLER RD
Second Line	:	SUITE 3
City	:	VILLE PLATTE
State	:	LA
Zip	:	70586-5600
Country	:	US
Telephone Number	:	337-363-3560
Fax Number	:	337-363-3507

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

Provider Enumeration Date	:	09/19/2005
Last Update Date	:	03/07/2023

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