Provider Demographics
NPI:1356344428
Name:BAKER, DAVID G (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:G
Last Name:BAKER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5000 AMBASSADOR CAFFERY PKWY
Mailing Address - Street 2:BLDG 1
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70508-6984
Mailing Address - Country:US
Mailing Address - Phone:337-261-0928
Mailing Address - Fax:337-233-7773
Practice Address - Street 1:5000 AMBASSADOR CAFFERY PKWY
Practice Address - Street 2:PROVINCE BUILDING 1
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70508-6984
Practice Address - Country:US
Practice Address - Phone:337-261-0928
Practice Address - Fax:337-233-7773
Is Sole Proprietor?:No
Enumeration Date:2005-05-23
Last Update Date:2013-03-19
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Provider Licenses
StateLicense IDTaxonomies
LAL013361207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1308871Medicaid
LAB60248Medicare UPIN
LA5J003Medicare PIN
LA5J003DB73Medicare PIN