Individual
DR. MICHAEL JOHN SEROU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
1415 TULANE AVE, HC71, NEW ORLEANS, LA 70112-2600
(504) 988-5800
Mailing address
1314 STATE ST, NEW ORLEANS, LA 70118-6029
(504) 717-0305
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD.026018
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1056189
—
LA
01
—
P00430662
RR MEDICARE
LA
Enumeration date
12/21/2006
Last updated
02/13/2017
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