Provider Demographics
NPI:1205829314
Name:BEGNAUD, STUART ANTHONY (MD)
Entity Type:Individual
Prefix:
First Name:STUART
Middle Name:ANTHONY
Last Name:BEGNAUD
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:121 RUE LOUIS XIV
Mailing Address - Street 2:BUILDING 5 SUITE B
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70508-5787
Mailing Address - Country:US
Mailing Address - Phone:337-981-5088
Mailing Address - Fax:337-981-7212
Practice Address - Street 1:121 RUE LOUIS XIV
Practice Address - Street 2:BLDG 5 SUITE B
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70508-5787
Practice Address - Country:US
Practice Address - Phone:337-981-5088
Practice Address - Fax:337-981-7212
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-24
Last Update Date:2018-12-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LA022162208100000X
LA22162208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1490288Medicaid
G56386Medicare UPIN
LAG56386Medicare UPIN
LA1490288Medicaid