Provider Demographics
NPI:1518226000
Name:DAVIS, ERIK ANTHONY (MD)
Entity Type:Individual
Prefix:DR
First Name:ERIK
Middle Name:ANTHONY
Last Name:DAVIS
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 1:2706 HESSMER AVE STE A
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70002-7046
Mailing Address - Country:US
Mailing Address - Phone:504-635-2601
Mailing Address - Fax:504-324-2078
Practice Address - Street 1:3434 HOUMA BLVD STE 301
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70006-4201
Practice Address - Country:US
Practice Address - Phone:504-754-2334
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-03
Last Update Date:2021-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALMD.33235208100000X
MDD84689208100000X
VA0100263879208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA326039OtherLSBME
MDD84689OtherMARYLAND LICENSE
VA0101263879OtherVIRGINIA LICENSE