Individual
DR. DIANE M FAILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4315 HOUMA BLVD, SUITE 201, METAIRIE, LA 70006-2940
(504) 455-4622
Mailing address
4315 HOUMA BLVD, SUITE 201, METAIRIE, LA 70006-2940
(504) 455-4622
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
MD020839
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1949001
—
LA
Enumeration date
08/24/2005
Last updated
04/22/2013
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