Individual
DR. HENRY WADE GILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-3470
(504) 842-7372
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
16495
MS
2085R0202X
Diagnostic Radiology Physician
Primary
MD.022262
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00121180
—
MS
05
—
157007
—
AL
01
—
300104394
RAILROAD MEDICARE
MS
01
—
512G700003
MS MEDICARE - GROUP
MS
01
—
P00462206
RAILROAD MEDICARE
MS
01
—
P01198273
RAILROAD MEDICARE PTAN
MS
Enumeration date
06/22/2006
Last updated
09/27/2021
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