Provider Demographics
NPI:1841209491
Name:PAPPAS, MICHAEL JAMES (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:JAMES
Last Name:PAPPAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1631 DUFOSSAT ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70115-4934
Mailing Address - Country:US
Mailing Address - Phone:504-891-3112
Mailing Address - Fax:504-891-3112
Practice Address - Street 1:1555 POYDRAS ST
Practice Address - Street 2:1601
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70112-3701
Practice Address - Country:US
Practice Address - Phone:504-556-7224
Practice Address - Fax:504-556-7357
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-05
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
LA06721R2086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1358240Medicaid
LA51231Medicare ID - Type Unspecified
LAB62897Medicare UPIN