Organization
MEDICINE AND NEPHROLOGY CLINIC OF NEW ORLEANS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NDUBUEZE FIDELIS OKONKWO M.D. (OWNER)
(504) 241-6660
Entity
Organization
Contact information
Practice address
5571 READ BLVD, NEW ORLEANS, LA 70127-3103
(504) 241-6660
(504) 362-9049
Mailing address
5571 READ BLVD, NEW ORLEANS, LA 70127-3103
(504) 241-6660
(504) 362-9049
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
LA09878R
LA
207RN0300X
Nephrology Physician
LA09878R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1972118
—
LA
Enumeration date
02/01/2012
Last updated
02/01/2012
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