Individual
DR. ANDRE DOMINICK TILTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4101 S CARROLLTON AVE, NEW ORLEANS, LA 70119-6817
(504) 446-1390
(877) 473-0040
Mailing address
6621 WESTBANK EXPY, MARRERO, LA 70072-2669
(504) 309-7030
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036139441
IL
207Q00000X
Family Medicine Physician
28991
NE
207Q00000X
Family Medicine Physician
Primary
MD.205203
LA
207Q00000X
Family Medicine Physician
MD2019-0172
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01105572
—
MS
05
—
2111906
—
LA
Enumeration date
05/20/2010
Last updated
03/20/2026
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