Maria Imelda Bautista
Neonatal-Perinatal Doctor
1303 Henry Clay Avenue Neonatal Medical Group
New Orleans
, Louisiana 70118
Maria Imelda Bautista
Neonatal-Perinatal Doctor
1303 Henry Clay Avenue Neonatal Medical Group
New Orleans
, Louisiana 70118
(504) 896-8835
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About
Features
Specialties
- Neonatal-Perinatal Doctor
Languages spoken
- English
Location
First Address
- Maria Imelda Bautista
- 1303 Henry Clay Avenue Neonatal Medical Group
- New Orleans, LA
- Zip : 70118
- Fax : (504) 896-8835
- Phone : (504) 896-2229
Second Address
- Maria Imelda Bautista
- 1303 Henry Clay Avenue Neonatal Medical Group
- New Orleans, LA
- Zip : 70118
- Fax : (504) 896-8835
- Phone : (504) 896-2229
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080N0001X | Neonatal-Perinatal Doctor | 07109R | LA |
National Provider Identifier
| NPI | 1073676458 |
|---|---|
| Provider Name | Maria Imelda Bautista |
| First Address | New Orleans, LA 70118 |
| Second Address | New Orleans, LA 70118 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/12/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1361852 | (05) | LA |
| D79795 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.