Individual
DR. RANDOLPH L ROIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2400 CANAL ST, NEW ORLEANS, LA 70119-6535
(504) 507-7693
Mailing address
1633 ROBERT ST, NEW ORLEANS, LA 70115-4925
(504) 897-4852
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
09912R
LA
2081P0004X
Spinal Cord Injury Medicine Physician
09912R
LA
2081P0301X
Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician
09912R
LA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
09912R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1680818
—
LA
01
—
2395804
PROVIDER # UNITED HEALTHC
LA
01
—
5508255
PROVIDER # AETNA PPO/POS
LA
01
—
721419219001
PROVIDER # FOR CIGNA
LA
01
—
72141921901
STATE GRP PPO/EPO #
LA
01
—
C8865
BCBS HMO PROVIDER #
LA
Enumeration date
09/07/2006
Last updated
09/20/2023
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