Individual
GAUTAM DEEPAK DIXIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Mailing address
1057 PAUL MAILLARD RD, LULING, LA 70070-4349
(985) 785-3655
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD.208227
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07529347
—
MS
05
—
2402030
—
LA
Enumeration date
05/01/2012
Last updated
12/15/2015
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