Individual
EVANGELINE G SCOPELITIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1514 JEFFERSON HIGHWAY, NEW ORLEANS, LA 70121
(504) 842-4000
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
MD013899
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05470004
—
MS
05
—
1159182
—
LA
01
—
9013964
MS MEDICAID
MS
Enumeration date
08/07/2006
Last updated
02/06/2008
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