Provider Demographics
NPI:1225008956
Name:GIROD, TYRONE THOMAS (MD)
Entity Type:Individual
Prefix:DR
First Name:TYRONE
Middle Name:THOMAS
Last Name:GIROD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:5617 GALERIA DR
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70816-6095
Mailing Address - Country:US
Mailing Address - Phone:225-292-6661
Mailing Address - Fax:225-292-6941
Practice Address - Street 1:5617 GALERIA DR
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70816-6095
Practice Address - Country:US
Practice Address - Phone:225-292-6661
Practice Address - Fax:225-292-6941
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-25
Last Update Date:2010-07-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
LA13787207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1190675Medicaid
LA1190675Medicaid
LAB62831Medicare UPIN