Provider Demographics
NPI:1932106978
Name:DELAHOUSSAYE, ARTHUR JOSEPH (MD)
Entity Type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:JOSEPH
Last Name:DELAHOUSSAYE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:249 CORPORATE DR
Mailing Address - Street 2:
Mailing Address - City:HOUMA
Mailing Address - State:LA
Mailing Address - Zip Code:70360-2769
Mailing Address - Country:US
Mailing Address - Phone:985-853-0900
Mailing Address - Fax:985-853-0903
Practice Address - Street 1:249 CORPORATE DR
Practice Address - Street 2:
Practice Address - City:HOUMA
Practice Address - State:LA
Practice Address - Zip Code:70360-2769
Practice Address - Country:US
Practice Address - Phone:985-853-0900
Practice Address - Fax:985-853-0903
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA022436207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1496511Medicaid
LAC9609OtherBCBS
LA2082277OtherAETNA HMO
LA1800361141OtherRAILROAD MEDICARE
LA5008671OtherAETNA PPO
LA1496511Medicaid
LA5008671OtherAETNA PPO