Provider Demographics
NPI:1083883169
Name:DRS NUTIK AND STEINER APMC
Entity Type:Organization
Organization Name:DRS NUTIK AND STEINER APMC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:GORDON
Authorized Official - Middle Name:P
Authorized Official - Last Name:NUTIK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:504-456-8013
Mailing Address - Street 1:4224 HOUMA BLVD
Mailing Address - Street 2:SUITE 270
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70006-2933
Mailing Address - Country:US
Mailing Address - Phone:504-456-8013
Mailing Address - Fax:504-456-8183
Practice Address - Street 1:4224 HOUMA BLVD
Practice Address - Street 2:SUITE 270
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70006-2933
Practice Address - Country:US
Practice Address - Phone:504-456-8013
Practice Address - Fax:504-456-8183
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-22
Last Update Date:2008-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA014482174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1795356Medicaid
LA56745Medicare PIN