Individual
DR. IVAN SHERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4200 HOUMA BLVD, EMERGENCY ROOM, METARIE, LA 70006-2970
(504) 456-5428
Mailing address
8401 DATAPOINT DR, SUITE 500, SAN ANTONIO, TX 78229-5907
(210) 614-0180
(210) 614-1722
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
MD014980
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1328308
—
LA
01
—
H4048Z
BCBS
LA
Enumeration date
12/02/2005
Last updated
03/19/2008
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