Provider Demographics
NPI:1366459133
Name:PAPA, LOUIS J (DO)
Entity Type:Individual
Prefix:DR
First Name:LOUIS
Middle Name:J
Last Name:PAPA
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:6029 HAZELNUT DR
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19901-5903
Mailing Address - Country:US
Mailing Address - Phone:252-367-0234
Mailing Address - Fax:
Practice Address - Street 1:300 TUSKEEGEE AIRMAN WAY
Practice Address - Street 2:436TH MEDICAL GROUP
Practice Address - City:DOVER AFB
Practice Address - State:DE
Practice Address - Zip Code:19901-4704
Practice Address - Country:US
Practice Address - Phone:302-677-2674
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-02
Last Update Date:2023-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2002-016162084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCBP8485193Medicare UPIN