Provider Demographics
NPI:1972655744
Name:RAU, ERIC HENRY (MD)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:HENRY
Last Name:RAU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:5619 HIGHWAY 311
Mailing Address - Street 2:SUITE A
Mailing Address - City:HOUMA
Mailing Address - State:LA
Mailing Address - Zip Code:70360-5595
Mailing Address - Country:US
Mailing Address - Phone:985-868-2273
Mailing Address - Fax:985-851-4898
Practice Address - Street 1:5619 HIGHWAY 311
Practice Address - Street 2:SUITE A
Practice Address - City:HOUMA
Practice Address - State:LA
Practice Address - Zip Code:70360-5595
Practice Address - Country:US
Practice Address - Phone:985-868-2273
Practice Address - Fax:985-851-4898
Is Sole Proprietor?:No
Enumeration Date:2007-01-18
Last Update Date:2011-07-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
LAMD10695R208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1996467Medicaid
LA1996467Medicaid
LA5U701Medicare PIN