Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | 04191R | LA |
NPI | 1023015930 |
---|---|
Provider Name | Dr. Rudolph Franklin |
First Address | New Orleans, LA 70116-2430 |
Second Address | Slidell, LA 70458-2724 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2005 |
Last Update Date | 09/08/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
07729706 | (05) | MS |
1194174 | (05) | LA |
180008685 | RAILROAD MEDICARE (01) | |
180008685 | RAILROAD MEDICARE (01) | LA |
51473 | MEDICARE PROV (01) | LA |
B63095 | (02) |