Individual
DR. MICHAEL SYDNEY ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1415 TULANE AVE, NEW ORLEANS, LA 70112-2600
(504) 988-5451
(504) 988-5948
Mailing address
1415 TULANE AVE, NEW ORLEANS, LA 70112-2600
(504) 988-5451
(504) 988-5948
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
010221
LA
207Y00000X
Otolaryngology Physician
Primary
MD.010221
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09737205
—
MS
05
—
1101133
—
LA
05
—
1518961259
—
AL
Enumeration date
06/10/2005
Last updated
04/19/2017
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