Provider Demographics
NPI:1982859211
Name:DIAZ, JAMES HENRY SR (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:HENRY
Last Name:DIAZ
Suffix:SR
Gender:M
Credentials:MD
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Mailing Address - Street 1:313 FRIEDRICHS AVE
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70005-4518
Mailing Address - Country:US
Mailing Address - Phone:504-835-0920
Mailing Address - Fax:504-835-5645
Practice Address - Street 1:1615 POYDRAS ST
Practice Address - Street 2:SUITE 1400
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70112-1254
Practice Address - Country:US
Practice Address - Phone:504-568-6052
Practice Address - Fax:504-568-5701
Is Sole Proprietor?:No
Enumeration Date:2008-12-01
Last Update Date:2008-12-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
LA13125207L00000X, 207LC0200X, 2083P0500X, 2083P0901X, 2083T0002X, 2083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LC0200XAllopathic & Osteopathic PhysiciansAnesthesiologyCritical Care Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No2083P0500XAllopathic & Osteopathic PhysiciansPreventive MedicinePreventive Medicine/Occupational Environmental Medicine
No2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine
No2083T0002XAllopathic & Osteopathic PhysiciansPreventive MedicineMedical Toxicology
No2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1305359Medicaid
LA1305359Medicaid
LA5M032Medicare PIN