Provider Demographics
NPI:1639307861
Name:EISWIRTH, CLAYTON CLEMENT (MD)
Entity Type:Individual
Prefix:DR
First Name:CLAYTON
Middle Name:CLEMENT
Last Name:EISWIRTH
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 1:4430 VETERANS MEMORIAL BLVD STE 340
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70006-5329
Mailing Address - Country:US
Mailing Address - Phone:048-424-0555
Mailing Address - Fax:504-433-7348
Practice Address - Street 1:4430 VETERANS MEMORIAL BLVD
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70006-5329
Practice Address - Country:US
Practice Address - Phone:504-842-4055
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-25
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA301929207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine