Individual
EFRAIN REISIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2820 NAPOLEON AVE, SUITE 890, NEW ORLEANS, LA 70115-6969
(504) 412-1366
(504) 412-1367
Mailing address
1340 POYDRAS ST, SUITE 1640, NEW ORLEANS, LA 70112-1221
(504) 412-1835
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
015907
LA
207RN0300X
Nephrology Physician
Primary
015907
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00114153
—
MS
05
—
1320773
—
LA
Enumeration date
07/23/2006
Last updated
10/29/2008
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