Provider Demographics
NPI:1427003284
Name:PANEPINTO, RORY PAUL (MD)
Entity Type:Individual
Prefix:DR
First Name:RORY
Middle Name:PAUL
Last Name:PANEPINTO
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 1:1801 CLEARVIEW PARKWAY
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70001
Mailing Address - Country:US
Mailing Address - Phone:504-264-3668
Mailing Address - Fax:504-210-8799
Practice Address - Street 1:1801 CLEARVIEW PARKWAY
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70001
Practice Address - Country:US
Practice Address - Phone:504-264-3668
Practice Address - Fax:504-210-8799
Is Sole Proprietor?:No
Enumeration Date:2006-05-23
Last Update Date:2012-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAPD.299R213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1152901Medicaid
U80656Medicare UPIN
LA1152901Medicaid