Individual
DOMENICK CARRA GRIESHABER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3800 HOUMA BLVD STE 310, METAIRIE, LA 70006-4192
(504) 249-7576
(504) 454-2763
Mailing address
3800 HOUMA BLVD STE 310, METAIRIE, LA 70006-4192
(504) 249-7576
(504) 454-2763
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
MD.203888
LA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
MD.203888
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07785768
—
MS
05
—
1941603
—
LA
Enumeration date
03/20/2009
Last updated
08/07/2020
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