Provider Demographics
NPI:1700889177
Name:SHERMAN, RICHARD N (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:N
Last Name:SHERMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2633 NAPOLEON AVE
Mailing Address - Street 2:SUITE 815
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70115-7412
Mailing Address - Country:US
Mailing Address - Phone:504-899-7158
Mailing Address - Fax:504-899-7161
Practice Address - Street 1:2633 NAPOLEON AVE
Practice Address - Street 2:SUITE 815
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70115-7412
Practice Address - Country:US
Practice Address - Phone:504-899-7158
Practice Address - Fax:504-899-7161
Is Sole Proprietor?:Yes
Enumeration Date:2005-05-31
Last Update Date:2011-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA020084207N00000X, 207NS0135X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No207NS0135XAllopathic & Osteopathic PhysiciansDermatologyProcedural Dermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA5R829Medicare ID - Type Unspecified
LAF37850Medicare UPIN