Provider Demographics
NPI:1649479882
Name:DIGIOVANNI, NEIL MICHAEL (MD)
Entity type:Individual
Prefix:DR
First Name:NEIL
Middle Name:MICHAEL
Last Name:DIGIOVANNI
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1514 JEFFERSON HWY
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70121-2429
Mailing Address - Country:US
Mailing Address - Phone:504-842-4000
Mailing Address - Fax:
Practice Address - Street 1:1514 JEFFERSON HWY
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70121
Practice Address - Country:US
Practice Address - Phone:504-842-5300
Practice Address - Fax:504-842-5305
Is Sole Proprietor?:No
Enumeration Date:2007-07-17
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI81107207L00000X
LAMD.201224207L00000X
MI4301109028207L00000X
LAMD201224207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS00974307Medicaid
LA1090743Medicaid
LA1090743Medicaid
LA4N973Medicare PIN