Provider Demographics
NPI:1144222498
Name:VENTURATOS, STEVE G (MD)
Entity Type:Individual
Prefix:DR
First Name:STEVE
Middle Name:G
Last Name:VENTURATOS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1111 MEDICAL CENTER BLVD
Mailing Address - Street 2:STE S450
Mailing Address - City:MARRERO
Mailing Address - State:LA
Mailing Address - Zip Code:70072-3151
Mailing Address - Country:US
Mailing Address - Phone:504-349-6401
Mailing Address - Fax:504-349-6444
Practice Address - Street 1:1111 MEDICAL CENTER BLVD
Practice Address - Street 2:STE S450
Practice Address - City:MARRERO
Practice Address - State:LA
Practice Address - Zip Code:70072-3151
Practice Address - Country:US
Practice Address - Phone:504-349-6423
Practice Address - Fax:504-349-6062
Is Sole Proprietor?:No
Enumeration Date:2005-06-01
Last Update Date:2013-11-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LA14691207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1332321Medicaid
5M280Medicare ID - Type Unspecified
B61740Medicare UPIN