Individual
ERICK BLAUDEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-3470
(504) 842-7372
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
20547
MS
2085R0202X
Diagnostic Radiology Physician
4301087389
MI
2085R0202X
Diagnostic Radiology Physician
Primary
MD.09984R
LA
2085R0202X
Diagnostic Radiology Physician
ME134839
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05935300
—
MS
05
—
178942
—
AL
05
—
488419210
—
MI
01
—
700H262300
BLUE CROSS-BLUE CROSS
—
01
—
EB087389
CHAMPUS-CHAMPUS
—
Enumeration date
08/05/2006
Last updated
04/25/2023
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