# MEDICINE AND NEPHROLOGY CLINIC OF NEW ORLEANS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366714669
- **Authorized official:** DR. NDUBUEZE FIDELIS OKONKWO M.D. (OWNER)
- **Authorized official phone:** (504) 241-6660

## Contact information

- **Practice address:** 5571 READ BLVD, NEW ORLEANS, LA 70127-3103
- **Practice address phone:** (504) 241-6660
- **Practice address fax:** (504) 362-9049
- **Mailing address:** 5571 READ BLVD, NEW ORLEANS, LA 70127-3103
- **Mailing address phone:** (504) 241-6660
- **Mailing address fax:** (504) 362-9049

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | LA09878R | LA | Yes |
| 207RN0300X | Nephrology Physician | LA09878R | LA | — |

## Other

- **Enumeration date:** 02/01/2012
- **Last updated:** 02/01/2012