Provider Demographics
NPI:1083761944
Name:FLATT, JOHN ADAM (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:ADAM
Last Name:FLATT
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:190 GREENBRIAR BLVD
Mailing Address - Street 2:SUITE 105
Mailing Address - City:COVINGTON
Mailing Address - State:LA
Mailing Address - Zip Code:70433-7237
Mailing Address - Country:US
Mailing Address - Phone:985-327-5880
Mailing Address - Fax:985-327-5879
Practice Address - Street 1:190 GREENBRIAR BLVD
Practice Address - Street 2:SUITE 105
Practice Address - City:COVINGTON
Practice Address - State:LA
Practice Address - Zip Code:70433-7237
Practice Address - Country:US
Practice Address - Phone:985-327-5880
Practice Address - Fax:985-327-5879
Is Sole Proprietor?:No
Enumeration Date:2007-01-04
Last Update Date:2015-12-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
LAMD.2021342084N0402X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0402XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1173231Medicaid
LA1173231Medicaid