Provider Demographics
NPI:1275510976
Name:WILLIAMS, MICHAEL H (MD)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:H
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:MD
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Other - Last Name:
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Mailing Address - Street 1:2020 GRAVIER ST RM 775
Mailing Address - Street 2:DEPT OF ANESTHESIOLOGY LSUHSC
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70112-2272
Mailing Address - Country:US
Mailing Address - Phone:504-568-2319
Mailing Address - Fax:504-568-2317
Practice Address - Street 1:2020 GRAVIER ST RM 775
Practice Address - Street 2:DEPT OF ANESTHESIOLOGY LSUHSC
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70112-2272
Practice Address - Country:US
Practice Address - Phone:504-568-2319
Practice Address - Fax:504-568-2317
Is Sole Proprietor?:No
Enumeration Date:2005-12-23
Last Update Date:2009-06-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LA020940207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS06500561Medicaid
LA1996599Medicaid
LAF83549Medicare UPIN
MS06500561Medicaid