Provider Demographics
NPI:1891722450
Name:NG, MICHAEL K (MD)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:K
Last Name:NG
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 62600
Mailing Address - Street 2:DEPT 1142
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70162-2600
Mailing Address - Country:US
Mailing Address - Phone:210-614-0180
Mailing Address - Fax:210-566-5698
Practice Address - Street 1:4200 HOUMA BLVD
Practice Address - Street 2:EMERGENCY ROOM
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70006-2970
Practice Address - Country:US
Practice Address - Phone:210-614-0180
Practice Address - Fax:210-566-5698
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2021-12-13
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Provider Licenses
StateLicense IDTaxonomies
LA.202071207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
LAH4048ZOtherBCBSLA
LA1198731Medicaid
LA1198731Medicaid
LAH4048ZOtherBCBSLA