Provider Demographics
NPI:1750303525
Name:DUHON, GARY LUKE (MD)
Entity Type:Individual
Prefix:
First Name:GARY
Middle Name:LUKE
Last Name:DUHON
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 1:200 HENRY CLAY AVE
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70118-5720
Mailing Address - Country:US
Mailing Address - Phone:504-905-3809
Mailing Address - Fax:
Practice Address - Street 1:CHILDREN'S HOSPITAL - CRITICAL CARE
Practice Address - Street 2:200 HENRY CLAY AVE
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70118
Practice Address - Country:US
Practice Address - Phone:504-896-9263
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-24
Last Update Date:2010-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA2022442080P0203X
LA5E799208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0203XAllopathic & Osteopathic PhysiciansPediatricsPediatric Critical Care Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1558087Medicaid
G93367Medicare UPIN
LA1558087Medicaid
LA5E799Medicare PIN
DC136014YT2Medicare PIN