Provider Demographics
NPI:1083826861
Name:BIUNNO, MICHAEL J (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:J
Last Name:BIUNNO
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Gender:M
Credentials:MD
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Mailing Address - Street 1:3520 GEN DEGAULLE DR.
Mailing Address - Street 2:SUITE 4030
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70114
Mailing Address - Country:US
Mailing Address - Phone:504-363-7448
Mailing Address - Fax:504-363-7421
Practice Address - Street 1:3520 GEN DEGAULLE DR.
Practice Address - Street 2:SUITE 4030
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70114
Practice Address - Country:US
Practice Address - Phone:504-363-7448
Practice Address - Fax:504-363-7421
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-04
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
LA0207502084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA196-674-6Medicaid
LA196-674-6Medicaid
LAF56947Medicare UPIN