Individual
C. ANDREW DEABATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1020 GRAVIER ST, NEW ORLEANS, LA 70112-1842
(504) 523-3600
(504) 891-1110
Mailing address
1227 EXPOSITION BLVD, NEW ORLEANS, LA 70118-6005
(504) 891-1122
(504) 891-1110
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD.05842R
LA
207Q00000X
Family Medicine Physician
Primary
MD.05842R
LA
207R00000X
Internal Medicine Physician
MD.05842R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1351253
—
LA
Enumeration date
05/22/2007
Last updated
09/11/2025
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