Individual
EDUARD VARTANOVICH DANILYANTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1401 FOUCHER ST, NEW ORLEANS, LA 70115-3515
(504) 897-7732
(504) 897-7759
Mailing address
4913 WILLS ST, METAIRIE, LA 70006-1132
(504) 455-6145
Taxonomy
Speciality
Code
Description
License number
State
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
Primary
023622
LA
207R00000X
Internal Medicine Physician
023622
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110239116
MCR RR
LA
05
—
1499315
—
LA
01
—
330999615
HUMANA
LA
Enumeration date
01/26/2007
Last updated
07/28/2009
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