Provider Demographics
NPI:1558552703
Name:ROBERT W. VEITH, MD, LLC
Entity Type:Organization
Organization Name:ROBERT W. VEITH, MD, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:W
Authorized Official - Last Name:VEITH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:504-455-0600
Mailing Address - Street 1:4224 HOUMA BLVD STE 330
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70006-2936
Mailing Address - Country:US
Mailing Address - Phone:504-455-0600
Mailing Address - Fax:504-456-8016
Practice Address - Street 1:4224 HOUMA BLVD STE 330
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70006-2936
Practice Address - Country:US
Practice Address - Phone:504-455-0600
Practice Address - Fax:504-456-8016
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-05
Last Update Date:2007-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA014806207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA5CD68Medicare PIN