Provider Demographics
NPI:1942488218
Name:NATHAN H FISCHMAN MD LLC
Entity Type:Organization
Organization Name:NATHAN H FISCHMAN MD LLC
Other - Org Name:NATHAN H FISCHMAN MD LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NATHAN
Authorized Official - Middle Name:HARVEY
Authorized Official - Last Name:FISCHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:504-897-7100
Mailing Address - Street 1:3525 PRYTANIA ST
Mailing Address - Street 2:SUITE 308
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70115-3584
Mailing Address - Country:US
Mailing Address - Phone:504-897-7100
Mailing Address - Fax:504-897-7101
Practice Address - Street 1:3525 PRYTANIA ST
Practice Address - Street 2:SUITE 308
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70115-3584
Practice Address - Country:US
Practice Address - Phone:504-897-7100
Practice Address - Fax:504-897-7101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-08
Last Update Date:2008-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAMD.014635174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1333506Medicaid
LA1333506Medicaid