Provider Demographics
NPI:1689671232
Name:ARENA, FRANK J (MD)
Entity Type:Individual
Prefix:
First Name:FRANK
Middle Name:J
Last Name:ARENA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1810 LINDBERG DR STE 2100
Mailing Address - Street 2:
Mailing Address - City:SLIDELL
Mailing Address - State:LA
Mailing Address - Zip Code:70458-8064
Mailing Address - Country:US
Mailing Address - Phone:985-649-2700
Mailing Address - Fax:985-649-8488
Practice Address - Street 1:39 STARBRUSH CIR
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:LA
Practice Address - Zip Code:70433-7304
Practice Address - Country:US
Practice Address - Phone:985-871-4155
Practice Address - Fax:985-871-4483
Is Sole Proprietor?:No
Enumeration Date:2005-06-28
Last Update Date:2021-01-05
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Provider Licenses
StateLicense IDTaxonomies
LA020540207R00000X, 207RC0000X, 207RI0011X, 207RI0011X
MDD55658207RI0011X, 207UN0901X, 2085N0904X, 2085R0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207UN0901XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear Cardiology
No2085N0904XAllopathic & Osteopathic PhysiciansRadiologyNuclear Radiology
No2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1916757Medicaid
MD911751200Medicaid
LA1916757Medicaid
F09196Medicare UPIN
MDF09196Medicare UPIN
MD211008300Medicaid
LA1916757Medicaid
MDF09196Medicare UPIN