Individual
BRAD DAVID RUPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD. 026082
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06470712
—
MS
05
—
1052027
—
LA
Enumeration date
01/26/2007
Last updated
06/11/2008
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