Provider Demographics
NPI:1235135948
Name:CARVER, DAVID R (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:R
Last Name:CARVER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:8490 PICARDY AVE
Mailing Address - Street 2:BLDG 200
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70809-3731
Mailing Address - Country:US
Mailing Address - Phone:225-237-1754
Mailing Address - Fax:225-237-1722
Practice Address - Street 1:8585 PICARDY AVE
Practice Address - Street 2:STE. 513
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70809-3679
Practice Address - Country:US
Practice Address - Phone:225-819-1188
Practice Address - Fax:225-819-1189
Is Sole Proprietor?:No
Enumeration Date:2005-06-27
Last Update Date:2014-09-16
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Provider Licenses
StateLicense IDTaxonomies
LA020116207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1384879Medicaid
LA080114706OtherRAILROAD MEDICARE
LA55462B116Medicare PIN
D87025Medicare UPIN