Individual
RICHARD K. IMSAIS
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) 842-4000
Mailing address
2005 VETERANS MEMORIAL BLVD, METAIRIE, LA 70002-6320
(504) 836-9820
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD.204364
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09622506
—
MS
05
—
1980846
—
LA
Enumeration date
03/20/2009
Last updated
12/05/2012
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