Individual
MELISSA J DONOVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4228 HOUMA BLVD FL 3, METAIRIE, LA 70006-3000
(504) 454-2222
(504) 454-2388
Mailing address
1100 POYDRAS ST., 2500 ENERGY CENTRE, NEW ORLEANS, LA 70163
(504) 527-9953
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD205397
LA
2086S0129X
Vascular Surgery Physician
Primary
MD.205397
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2196979
—
LA
Enumeration date
05/18/2007
Last updated
12/11/2023
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