1467420943 NPI number — DR. KENNETH N ADATTO M.D.

Table of content: DR. KENNETH N ADATTO M.D. (NPI 1467420943)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1467420943 NPI number — DR. KENNETH N ADATTO M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ADATTO
Provider First Name:
KENNETH
Provider Middle Name:
N
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

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:
1467420943
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/25/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3535 PRYTANIA ST
Provider Second Line Business Mailing Address:
SUITE 310
Provider Business Mailing Address City Name:
NEW ORLEANS
Provider Business Mailing Address State Name:
LA
Provider Business Mailing Address Postal Code:
70115-3518
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
504-897-7877
Provider Business Mailing Address Fax Number:
504-897-7814

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3535 PRYTANIA ST
Provider Second Line Business Practice Location Address:
SUITE 310
Provider Business Practice Location Address City Name:
NEW ORLEANS
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70115-3518
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
504-897-7877
Provider Business Practice Location Address Fax Number:
504-897-7814
Provider Enumeration Date:
03/09/2006

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: 207X00000X , with the licence number:  MD010785 , 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: 1119113 , issued by the state of ( LA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 200045663 . This is a "RAILROAD" identifier , issued by the state of ( LA ) . This identifiers is of the category "OTHER".
  • Identifier: 79751 . This is a "COVENTRY" identifier , issued by the state of ( LA ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com