Provider Demographics
NPI:1427040583
Name:GUETTE, ANDRE GEORGES (MD)
Entity Type:Individual
Prefix:DR
First Name:ANDRE
Middle Name:GEORGES
Last Name:GUETTE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:4740 S. I-10 SERVICE RD.
Mailing Address - Street 2:STE 340
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70001
Mailing Address - Country:US
Mailing Address - Phone:504-455-0004
Mailing Address - Fax:504-455-0097
Practice Address - Street 1:4740 S. I-10 SERVICE RD.
Practice Address - Street 2:STE 340
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70001
Practice Address - Country:US
Practice Address - Phone:504-455-0004
Practice Address - Fax:504-455-0097
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-16
Last Update Date:2011-12-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LA012305207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1300161Medicaid
LA4M234Medicare PIN
LAB64135Medicare UPIN