Individual
JASON POYADOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-3000
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
200684
LA
363A00000X
Physician Assistant
PA00658
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08532519
—
MS
05
—
2351125
—
LA
Enumeration date
12/15/2013
Last updated
01/04/2023
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