Provider Demographics
NPI:1710278247
Name:HULIN, MICHAEL PAUL (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:PAUL
Last Name:HULIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9605 JEFFERSON HWY STE F
Mailing Address - Street 2:
Mailing Address - City:RIVER RIDGE
Mailing Address - State:LA
Mailing Address - Zip Code:70123-2550
Mailing Address - Country:US
Mailing Address - Phone:504-738-1600
Mailing Address - Fax:504-737-1264
Practice Address - Street 1:9605 JEFFERSON HWY STE F
Practice Address - Street 2:
Practice Address - City:RIVER RIDGE
Practice Address - State:LA
Practice Address - Zip Code:70123-2550
Practice Address - Country:US
Practice Address - Phone:504-738-1600
Practice Address - Fax:504-737-1264
Is Sole Proprietor?:No
Enumeration Date:2011-05-02
Last Update Date:2019-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAPPLYING PGY1 PERMIT207Q00000X
LAMD.205763207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine