Provider Demographics
NPI:1275590945
Name:SCHNEIDER, DAVID L (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:L
Last Name:SCHNEIDER
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 1:3225 DANNY PARK STE 100
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70002-5751
Mailing Address - Country:US
Mailing Address - Phone:504-889-0550
Mailing Address - Fax:504-889-0582
Practice Address - Street 1:3225 DANNY PARK STE 100
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70002-5751
Practice Address - Country:US
Practice Address - Phone:504-889-0550
Practice Address - Fax:504-889-0582
Is Sole Proprietor?:No
Enumeration Date:2006-04-27
Last Update Date:2016-12-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LA017340207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1376841Medicaid
LA54494C773Medicare PIN
LAB65280Medicare UPIN
LA1376841Medicaid