Provider Demographics
NPI:1417927492
Name:HAND, MICHAEL R (MD)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:R
Last Name:HAND
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:711 WOOD ST
Mailing Address - Street 2:STE A
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71201-7549
Mailing Address - Country:US
Mailing Address - Phone:318-323-8847
Mailing Address - Fax:318-327-3410
Practice Address - Street 1:711 WOOD ST
Practice Address - Street 2:STE A
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71201-7549
Practice Address - Country:US
Practice Address - Phone:318-323-8847
Practice Address - Fax:318-327-3410
Is Sole Proprietor?:No
Enumeration Date:2006-01-24
Last Update Date:2009-12-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LA021439207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1670146Medicaid
LAG17212Medicare UPIN
LA1670146Medicaid