Provider Demographics
NPI:1710203682
Name:MASCARENHAS, RYAN CHARLES (MD)
Entity Type:Individual
Prefix:DR
First Name:RYAN
Middle Name:CHARLES
Last Name:MASCARENHAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3434 PRYTANIA ST
Mailing Address - Street 2:STE 300
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70115-3532
Mailing Address - Country:US
Mailing Address - Phone:504-897-4425
Mailing Address - Fax:504-896-5249
Practice Address - Street 1:3434 PRYTANIA ST
Practice Address - Street 2:STE 300
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70115-3532
Practice Address - Country:US
Practice Address - Phone:504-897-4425
Practice Address - Fax:504-896-5249
Is Sole Proprietor?:No
Enumeration Date:2010-04-15
Last Update Date:2022-02-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LAMD.206147207R00000X, 207RN0300X
390200000X
CODR.0067742207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program