Provider Demographics
NPI:1285020800
Name:MCGILL, NOAH (MD)
Entity Type:Individual
Prefix:
First Name:NOAH
Middle Name:
Last Name:MCGILL
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 1:1542 TULANE AVE
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70112-2865
Mailing Address - Country:US
Mailing Address - Phone:504-702-2000
Mailing Address - Fax:
Practice Address - Street 1:15790 PAUL VEGA MD DRIVE
Practice Address - Street 2:RADIOLOGY
Practice Address - City:HAMMOND
Practice Address - State:LA
Practice Address - Zip Code:70403-7040
Practice Address - Country:US
Practice Address - Phone:985-345-2700
Practice Address - Fax:985-230-1528
Is Sole Proprietor?:No
Enumeration Date:2015-04-09
Last Update Date:2020-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA3208052085R0204X, 2085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology