Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0007X | Plastic Surgeon (Head & Neck) | MD016150 | LA |
NPI | 1831280668 |
---|---|
Provider Name | Ronald Gerard Amedee |
First Address | New Orleans, LA 70121 |
Second Address | New Orleans, LA 70121 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/09/2006 |
Last Update Date | 06/07/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
08453212 | (05) | MS |
1358444 | (05) | LA |
51261 | MEDICARE NUMBER (01) | LA |
B62920 | (02) | LA |