Individual
DR. JOHN MICHAEL BARRAZA II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5000 HENNESSY BLVD, BATON ROUGE, LA 70808-4375
(225) 757-0552
(225) 763-9997
Mailing address
8230 SUMMA AVE, STE C, BATON ROUGE, LA 70809-3465
(225) 757-0552
(225) 763-9997
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
322304
LA
2085R0202X
Diagnostic Radiology Physician
Primary
53392
TN
390200000X
Student in an Organized Health Care Education/Training Program
INTERN
LA
390200000X
Student in an Organized Health Care Education/Training Program
MT210265
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100478620
—
KY
01
—
Q028867
TSC
TN
05
—
Q028867
—
TN
Enumeration date
08/19/2011
Last updated
06/17/2020
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