Individual
DR. BLAISE ANDREW ANGELICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4228 HOUMA BLVD, STE 400, METAIRIE, LA 70006-3000
(504) 456-5123
(504) 456-5129
Mailing address
4300 HOUMA BLVD, SUITE 202, METAIRIE, LA 70006-2932
(504) 883-3700
(504) 883-3710
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD014132
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1199508
—
LA
01
—
5M214
MEDICARE PTAN
LA
Enumeration date
05/17/2006
Last updated
12/21/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us