Individual
DR. MICHAEL LANGIULLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
312 GRAMMONT ST, SUITE 303, MONROE, LA 71201-7457
(318) 966-8850
(318) 966-8851
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 526-0011
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
203554
LA
207RC0000X
Cardiovascular Disease Physician
Primary
MD.203554
LA
207RI0011X
Interventional Cardiology Physician
203554
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02796601
—
NY
05
—
1822604
—
LA
01
—
223720
NY LICENSE
NY
01
—
C03054
MEDICARE GROUP NUMBER
CT
Enumeration date
03/27/2006
Last updated
05/05/2017
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