Individual
MANUEL VARGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1542 TULANE AVE # T4M2, NEW ORLEANS, LA 70112-2865
(504) 568-4498
Mailing address
4422 LAKE VISTA DR, METAIRIE, LA 70006-2106
(815) 641-9789
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
303026
LA
207RR0500X
Rheumatology Physician
Primary
303026
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/10/2015
Last updated
08/09/2018
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