1376543876 NPI number — STEPHANIE L SARRAT MD

Table of content: STEPHANIE L SARRAT MD (NPI 1376543876)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1376543876 NPI number — STEPHANIE L SARRAT MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SARRAT
Provider First Name:
STEPHANIE
Provider Middle Name:
L
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1376543876
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/01/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2633 NAPOLEON AVE
Provider Second Line Business Mailing Address:
STE 400, ATTN DRS. LOUAPRE, KOKEMORE & SARRAT LLC
Provider Business Mailing Address City Name:
NEW ORLEANS
Provider Business Mailing Address State Name:
LA
Provider Business Mailing Address Postal Code:
70115
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
504-897-3305
Provider Business Mailing Address Fax Number:
504-897-3331

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2633 NAPOLEON AVE
Provider Second Line Business Practice Location Address:
STE 400, ATTN DRS. LOUAPRE, KOKEMORE & SARRAT LLC
Provider Business Practice Location Address City Name:
NEW ORLEANS
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70115
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
504-897-3305
Provider Business Practice Location Address Fax Number:
504-897-3331
Provider Enumeration Date:
07/26/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  023854 , registered in the state of LA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1485683 , issued by the state of ( LA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 5F949 . This is a "GROUP MEDICAID" identifier . This identifiers is of the category "OTHER".




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