Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | MD.206239 | LA |
N | 111NI0900X | Internist | MD.206239 | LA |
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | MD.206239 | LA |
NPI | 1679705263 |
---|---|
Provider Name | Dr. Rohan Samson |
First Address | New Orleans, LA 70112-2632 |
Second Address | New Orleans, LA 70112-2632 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/08/2009 |
Last Update Date | 12/03/2018 |