Provider Demographics
NPI:1952448854
Name:BAUM, NEIL (MD)
Entity Type:Individual
Prefix:DR
First Name:NEIL
Middle Name:
Last Name:BAUM
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3525 PRYTANIA ST
Mailing Address - Street 2:SUITE 614
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70115-3500
Mailing Address - Country:US
Mailing Address - Phone:504-891-8454
Mailing Address - Fax:504-891-8505
Practice Address - Street 1:3525 PRYTANIA ST
Practice Address - Street 2:SUITE 614
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70115-3500
Practice Address - Country:US
Practice Address - Phone:504-891-8454
Practice Address - Fax:504-891-8505
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-31
Last Update Date:2015-01-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
LAMD.04724R208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA741930622OtherTAX ID
LA1197327Medicaid
LA741930622OtherTAX ID
LA50384Medicare UPIN